Assessment of Physician Directiveness: Using Hypoplastic Left Heart Syndrome as a Model

Abstract

These results suggest that physician specialty is associated with directiveness. It is unclear, however, what amount of direction parents of critically ill children prefer.

Genital Surgery for Disorders of Sex Development: Implementing a Shared Decision-Making Approach

“…In recent years, organizations such as the Institute of Medicine, the Agency for Healthcare Research and Quality, the American College of Physicians, the American Academy of Family Physicians, the Society of Critical Care Medicine, and the American Urological Association have encouraged doctors to adopt a shared decisionmaking (SDM) approach when complex or difficult decisions must be made regarding interventions or appropriate goals of care [17][18][19][20][21][22][23] . SDM is an important tool for making health care decisions and this is perhaps most so when data are lacking, when there is no clear "best-choice" treatment, when decisions involve more than one choice, where each choice has both advantages and disadvantages, and where the ranking of options depends heavily on the decision-maker's values 9,10 .…”

Doctor, What Would You Do? An ANSWER for Patients Requesting Advice About Value-Laden Decisions

“…In fact, studies show that physicians tend to choose fewer and less invasive interventions for themselves than they recommend for patients. 3,4,[6][7][8][9] Even more significant, physicians choose fewer interventions for their children 10 but make recommendations based on treatments available at their institutions. 11 In turn, physicians' decisions for patients do not always accurately reflect patients' preferences.…”