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Medical Decision Making
Modern healthcare has supplanted the doctor-knows-best mentality with more patient autonomy, which requires patients to make decisions that reflects their values and desires. Patients’ lack of medical training to drive treatment decisions raises ethical challenges.
A Pilot Study of Providing Patients with Personalized Risk Information Regarding Colorectal Cancer Screening (PI: Peter Schwartz)
Giving Patients Quantitative Information about the Risks of Colorectal Cancer and the Benefits of Screening: A Randomized Trial of a Computer-based Presentation (PI: Peter H. Schwartz)
Schwartz PH. Do the numbers help patients decide: Ethical and empirical challenges for evaluating the impact of quantitative information. In Numerical Reasoning in Judgements and Decision Making About Health, eds. B. Anderson and J. Schulkin, Cambridge: Cambridge Univ. Press. Pp 252-280.
Schwartz PH. Small tumors as risk factors not disease. In Philosophy of Science. 2014; 81(5): 986-998.
Schwartz, PH, Edenberg, E, Barrett PR, Perkins SM, Meslin EM, Imperiale TF. Patient understanding of benefits, risks, and alternatives to screening colonoscopy. Fam Med. 2013 Feb;45(2):83-9.
Torke, AM, Schwartz, PH, Holtz LR, Montz K, Sachs GA. Older adults and forgoing cancer screening: “I think it would be strange.” JAMA Intern Med. 2013 Apr 8;173(7):526-31. doi: 10.1001/jamainternmed.2013.2903. PMID: 2347883.
Torke AM, Schwartz PH, Holtz LR, Montz K, Sachs, GA. Caregiver perspectives on cancer screening for persons with dementia: “Why put them through it?” J Am Geriatr Soc. 2013;6(8):1309-1314.
Schwartz PH. Questioning the Quantitative Imperative: Decision Aids, Prevention, and the Ethics of Disclosure. Hastings Center Report 2011;41(2): 30-39.
Schwartz PH. Disclosure and rationality: comparative risk information and decision-making about prevention. Theor Med Bioeth. 2009;30(3):199-213.