New Medical Conversation / Edition 208

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'The New Medical Conversation succinctly and effectively brings together a range of relevant perspectives. It outlines the tensions and opportunities that exist for physicians who seek to discuss risk matters effectively with their patients. It explores the current contexts of patient safety, individual rights to treatments or information, the legal requirements of informed consent, the ethical perspectives and the constraints on patients and professionals in seeking to achieve greater shared understanding about treatments and care choices. Mazur explores the way physicians can effectively discuss relevant information with their patients, using appropriate 'information messages,' being aware of the pitfalls of framing manipulations, and seeking to enhance both global and specific areas of understanding. In so doing Dr. Mazur is showing how we can meet the requirements of modern consumerist health care and yet also maintain the essential and supportive qualities of physicians conversing with their patients.' —Adrian Edwards, University of Wales College of Medicine, Llanedeyrn Health Center

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Editorial Reviews

Mark Helfand
Dr. Mazur has provided the first thoughtful examination of our responsibilities as physicians in an age when patients are being bombarded with medical information from advertisers and vendors. I hope physicians heed his call to rise to the occasion by asserting the primacy of trust, good science, and one's responsibility to the individual patient.
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Product Details

  • ISBN-13: 9780742520288
  • Publisher: Rowman & Littlefield Publishers, Inc.
  • Publication date: 12/15/2002
  • Edition number: 208
  • Pages: 224
  • Product dimensions: 6.14 (w) x 9.24 (h) x 0.81 (d)

Meet the Author

Dennis J. Mazur is professor of medicine at Oregon Health and Science University, senior scholar at the Center for Ethics in Health Care, and chairman on the Institutional Review Board at the Department of Veterans Affairs Medical Center in Portland, Oregon.

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Table of Contents

Pt. I Key Points Needed for Better Communication
1 Introduction 3
2 Media, Science, Doctors, and Patients 5
3 Basic Terms 17
4 The Ethics of Scientific Communications: Its Interdisciplinary Nature 29
5 Perspectives on Information and the Scientist, the Social Scientist, and the Philosopher 43
6 The New Medical Conversation and the Scientific Information Message 53
7 The Circumscription of Information by the Courts 67
8 Expanded Senses of Information by Ethicists and a Psychiatrist 83
9 Bioethicists Respond to the Judicial Doctrine of Informed Consent 87
10 Information, Cultures, and Caution 93
Pt. II How Information Reaches Patients
11 What Has been Learned in Research Studies about "Information" in the New Medical Conversation? 105
12 Complex Risk Information: Genetic Information and Future Generations 109
Pt. III Communicating Risk-Benefit Information Today
13 Truth and Bias in the Way Information Is Presented 115
14 The Move toward Providing Patients with "More Information" of "Different Types" 127
Pt. IV Communicating Risk-Benefit Information in the Future
15 Egalitarian Approaches to Information 139
16 Research on Communication in the Patient-Physician Relationship 145
17 The Longer Information Message: Toward a Fuller Understanding of the "Range of Information" Being Discussed 147
18 Decision Support for Patients: It's Here, but What Is It, Why Is It Here, Whom Is It Supposed to Benefit, and Where Is It Going? 163
19 Summary and Conclusions 177
Index 179
About the Author 187
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  • Anonymous

    Posted July 9, 2010

    Consent, Informed Consent, and the Psychology of Human Decision Making

    The author provides an in-depth review of the history of consent and informed consent in the context of the psychology of decision making in health and medical care. A well-written and thorough account of the how judge-made law interfaces with cognitive psychology as both apply to decision making in health and medical care. Helps both the student and the professional better understand the standards of consent and informed consent in the context of the decision making research of Tversky and Kahneman.

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