Good Ethics and Bad Choices: The Relevance of Behavioral Economics for Medical Ethics by Jennifer S. Blumenthal-Barby
Author:Jennifer S. Blumenthal-Barby [Blumenthal-Barby, Jennifer S.]
Language: eng
Format: epub
Tags: ethics; autonomy; paternalism;Nudges; nudging; ethics; manipulation;Nudges; nudging; examples; case studies;Conclusion; guidelines; recommendations, Nudges; nudging; ethics; medical ethics; bioethics; decision-making; behavioural economics; behavioral economics; choice architecture; medical decision-making; patient decision-making; autonomy; philosophy;Behavioral economics; ethics; nudging;Behavioral economics; heuristics; biases; cognitive biases; medical decision making;Behavioral economics; decisions; biases; patient autonomy;Behavioral economics; nudging; nudges; choice architecture, ethics, Health Policy, Medical, Business & Economics, Consumer Behavior
ISBN: 9780262542487
Google: fOQ2EAAAQBAJ
Publisher: MIT Press
Published: 2021-08-03T00:25:35.791551+00:00
1. Patientâs medical decision is well thought out and/or in line with her values and goals.
Respect for patient autonomy.
A patient who is a Jehovahâs Witness is refusing blood products.
Note that this is contrary to the situation in which a patient is refusing blood products because her neighbor received a blood transfusion and died, so she believes it is likely that she will die (availability bias).
2. Lowered expected utility gain from nudging, due to, for example, uncertainty about what choice would be best for the patient.â
a. Preference-sensitive decisions in which there is significant variation in what different patients choose and little knowledge about the decision-making patientâs preferences, values, and goals.
b. Uncertainty about the consequences associated with each option.
Consequentialist: attempts to shape choice will not (are not likely to) lead to improved decisional outcomes for the patient because it is unclear what the best option is.
A patient is deciding between implanting one and two embryos during a cycle of in vitro fertilization (IVF) and is undecided about what matters most to her (increasing the odds of a live birth or avoiding the risks associated with carrying twins).
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