Physicians' personal values in determining medical decision-making capacity: a survey study

Journal of Medical Ethics
Helena HermannNikola Biller-Andorno

Abstract

Decision-making capacity (DMC) evaluations are complex clinical judgements with important ethical implications for patients' self-determination. They are achieved not only on descriptive grounds but are inherently normative and, therefore, dependent on the values held by those involved in the DMC evaluation. To date, the issue of whether and how physicians' personal values relate to DMC evaluation has never been empirically investigated. The present survey study aimed to investigate this question by exploring the relationship between physicians' value profiles and the use of risk-relative standards in capacity evaluations. The findings indicate that physicians' personal values are of some significance in this regard. Those physicians with relatively high scores on the value types of achievement, power-resource, face and conformity to interpersonal standards were more likely to apply risk-relative criteria in a range of situations, using more stringent assessment standards when interventions were riskier. By contrast, those physicians who strongly emphasise hedonism, conformity to rules and universalism concern were more likely to apply equal standards regardless of the consequences of a decision. Furthermore, it has been shown ...Continue Reading

References

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Apr 1, 1991·Bioethics·Mark R Wicclair
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Sep 22, 2012·Journal of Evaluation in Clinical Practice·Natalie F Banner

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Citations

Aug 5, 2016·The American Journal of Hospice & Palliative Care·Luis O ChavezJoseph Varon
Nov 13, 2018·Critical Care Medicine·Pierre-Marie BertrandAlexandre Lautrette
Feb 20, 2019·Journal of Medical Ethics·Nicholas Kontos
Apr 2, 2020·Health Care Analysis : HCA : Journal of Health Philosophy and Policy·Supriya Subramani
Sep 1, 2018·Clinical Ethics·Niels LynøeNiklas Juth
May 1, 2020·Medicine, Health Care, and Philosophy·Helena HermannNikola Biller-Andorno

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