Recent insights into decision-making and their implications for informed consent

Journal of Medical Ethics
Irene M L VosIneke L L E Bolt

Abstract

Research from behavioural sciences shows that people reach decisions in a much less rational and well-considered way than was often assumed. The doctrine of informed consent, which is an important ethical principle and legal requirement in medical practice, is being challenged by these insights into decision-making and real-world choice behaviour. This article discusses the implications of recent insights of research on decision-making behaviour for the informed consent doctrine. It concludes that there is a significant tension between the often non-rational choice behaviour and the traditional theory of informed consent. Responsible ways of dealing with or solving these problems are considered. To this end, patient decisions aids (PDAs) are discussed as suitable interventions to support autonomous decision-making. However, current PDAs demand certain improvements in order to protect and promote autonomous decision-making. Based on a conception of autonomy, we will argue which type of improvements are needed.

Associated Clinical Trials

Jun 17, 2019·Marian G. Acevedo Alvarez

References

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Citations

Oct 27, 2018·Journal of Medical Ethics·John R McMillan
Apr 20, 2019·AJOB Empirical Bioethics·Richard F IttenbachLeslie L Korbee
Jul 30, 2020·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Jens Cosedis NielsenAlan G Fraser
May 16, 2019·The American Journal of Bioethics : AJOB·T J Kasperbauer, Peter H Schwartz
May 10, 2021·Clinical Epigenetics·Faten Taki, Inmaculada de Melo-Martin
Jun 27, 2021·Journal of Medical Ethics·Edward Harcourt

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