The Meaning(s) of Uncertainty in Treatment Decision-Making

Professional Practice in Health, Education and the Creative Arts

Volumn , Issue , 2008, Pages 62-71

  Charles, Cathy ^a  

^a MCMASTER UNIVERSITY   (Canada)

Author keywords

Clinical practice; Medical culture; Physicians; Research studies; Treatment decision making

Indexed keywords

EID: 84904222476     PISSN: None     EISSN: None     Source Type: Book    
DOI: 10.1002/9780470690659.ch5     Document Type: Chapter

References (40)

1. Adelswärd, V & Sachs, L. (1996) The meaning of 6.8: numeracy and normality in health information talks, Social Science & Medicine, 43, pp. 1179-87.
2. Anderson, T. F. & Mooney, G. (eds) (1990) The Challenge of Medical Practice Variations, MacMillan Press, Copenhagen.
3. Atkinson, P. (1984) Training for certainty, Social Science & Medicine, 19(9), 949-56.
4. Beisecker, A.E. & Beisecker, T.D. (1990) Patient information-seeking behaviours when communicating with doctors, Medical Care, 28, pp. 19-28.
5. Beresford, E. (1991) Uncertainty and the shaping of medical decisions, The Hastings Center Report, July-August, pp. 6-11.
6. Binnie, A. & Titchen, A. (1999) Freedom to Practise: A Study of the Development of Patient-Centred Nursing (ed. J. Lathlean), Butterworth-Heinemann, Oxford.
7. Chalmers, K. & Thomson, K. (1996) Coming to terms with the risk of breast cancer: Perceptions of women with primary relatives with breast cancer, Qualitative Health Research, 6, pp. 256-82.
8. Charles, C.A. & DeMaio, S. (1993) Lay participation in health care decision-making: A conceptual framework, Journal of Health Politics, Policy and Law, 18, pp. 881-904.
9. Charles, C.A., Gafni, A. & Whelan, T. (in press) Decision-making in the physician-patient encounter: Revisiting the shared treatment decisions-making model, Social Science & Medicine (in press).
10. Charles, C.A., Gafni, A. & Whelan, T. (1997a) Shared decision-making in the medical encounter: what does it mean? (Or, it takes at least two to tango), Social Science & Medicine, 44(5), 681-92.
11. Charles, C.A., Lomas, J., Giacomini, M., Bhatia, V. & Victoria, V. (1996) Medical necessity in Canadian health policy: Four meanings and a funeral? Milbank Quar-terly, 75(3), 365-94.
12. Charles, C.A., Redko, C., Gafni, A., Whelan, T. & Renyo, L. (1998) Doing nothing is no choice: Lay constructions of treatment decision-making among women with early-stage breast cancer, Journal of Sociology and Health, 20(1), 71-95.
13. Curely, S.P., Eraker, S.A. & Yates, J.F. (1984) An investigation of patients' reactions to therapeutic uncertainty, Medical Decision Making, 8(4), 501-11.
14. Davidoff, F., Haynes, B., Sackett, D. & Smith, R. (1995) Evidence-based medicine: A new journal to help doctors identify the information they need, British Medical Journal, 310, pp. 1085-6.
15. Deber, R.B., Kraetschmer, N. & Irvine, J. (1996) What role do patients wish to play in treatment decision-making?, Archives of Internal Medicine, 156, pp. 1414-20.
16. Degner, L.F. & Sloan, J.F. (1992) Decision-making during serious illness: What role do patients really want to play?, Journal of Clinical Epidemiology, 45, pp. 941-50.
17. Department of Clinical Epidemiology & Biostatistics (1998) Evidence-Based Health Care Newsletter, An occasional publication from the Department of Clinical Epidemiology & Biostatistics, McMaster University, Hamilton, Canada.
18. Eddy, D.M. (1984) Variations in physician practice: The role of uncertainty, Health Affairs, 4, pp. 74-88.
19. Evidence-Based Medicine Working Group (1992) Evidence-based medicine: A new approach to teaching the practice of medicine, Journal of American Medical Association, 268, pp. 2420-5.
20. Fox, R.C. (1957) Training for uncertainty, in The Student Physician: Introductory Studies in the Sociology of Medical Education (eds R.K. Merton, G.C. Reader & P.L. Kendall), Harvard University Press, Cambridge, MA.
21. Fox, R.C. (1980) The evolution of medical uncertainty, Millbank Memorial Fund Quar-terly, 58, pp. 1-48.
22. Gabe, J. (1995) Health, medicine and risk: The need for a sociological approach, in Medicine, Health and Risk: Sociological Approaches (ed. J. Gabe), Sociology of Health and Illness Monograph Series No. 1. Blackwell Publishers, Oxford.
23. Iscoe, N.A., Goel, V., Wu, K., Fehringer, G., Holowaty, J.E. & Naylor, C.D. (1994) Variation in breast cancer surgery in Ontario, Canadian Medical Association Journal, 150(3), 345-52.
24. Johnson, C.G., Levenkron, J.C., Suchman, A.L. & Manchester, R. (1988) Does physician uncertainty affect patient satisfaction? Journal of General Internal Medicine, 3, pp. 144-9.
25. Katz, J. (1984) Why doctors don't disclose uncertainty, The Hastings Center Report, pp. 35-44.
26. Kleijnen, J. & Chalmers, I. (1997) How to practise and teach Evidence-based Medicine: Role of the Cochrane Collaboration, Acta Anaesthesiologica Scandinavica, 111(Suppl.), pp. 231-3.
27. Light, D. Jr. (1979) Uncertainty and control in professional training, Journal of Health & Social Behaviour, 20, pp. 310-22.
28. Lomas, J. & Contandriopoulos, A.P. (1994) Regulating limits to medicine: Towards harmony in public and self-regulation, in Why Are Some People Healthy and Others Not? The Determinants of Health of Populations (eds R.G. Evans, M.L. Barere & T.R. Marmor), Aldine De Gruyter, New York, pp. 253-83.
29. Lupton, D. (1993) Risk as moral danger: The social and political functions of risk dis-course in public health, International Journal of Health Services, 23, pp. 425-35.
30. Parsons, E. & Atkinson, P. (1992) Lay constructions of genetic risk, Sociology of Health & Illness, 14, pp. 437-55.
31. Pozatek, E. (1994) The problem of certainty: Clinical social work in the postmodern era, Social Work, 39(4), 396-403.
32. Rizzo, J.A. (1993) Physician uncertainty and the art of persuasion, Social Science & Medicine, 37(12), 1451-9.
33. Rosenberg, W. & Donald, A. (1995) Evidence based medicine: An approach to clinical problem-solving, British Medical Journal, 310, pp. 1122-6.
34. Sackett, D.L. & Haynes, R.B. (1995) On the need for evidence-based medicine, Evidence-Based Medicine, 1, pp. 5-6.
35. Sackett, D.L. & Rosenberg, W.C. (1995) On the need for evidence-based medicine, Journal of Public Health Medicine, 17, pp. 330-4.
36. Seaton, A., Davidson, G., Schwarz, C. & Simpson, J. (eds) (1989) Chambers Thesaurus, W&R Chambers Ltd, Edinburgh.
37. Sutherland, H.J., Llewellyn-Thomas, H.A., Lockwood, G.A., Tritchler, D.L. & Till, J.E. (1989) Cancer patients: Their desire for information and for participation in treatment decision-making, Journal of the Royal Society of Medicine, 82, pp. 260-3.
38. Titchen, A. (2000) Professional craft knowledge in patient-centred nursing and the facili-tation of its development, University of Oxford DPhil Thesis, Ashdale Press, Oxford.
39. Tversky, A. & Kahneman, D. (1974) Judgment under uncertainty: Heuristics and biases, Science, 185, no. 1124-31.
40. Wennberg, J.E. (1990) Sounding board. Outcome reach, cost containment, and the fear of health care rationing, New England Journal of Medicine, 323, pp. 1202-4.