Decision Making

591.

Physician-patient interaction and hysterectomy decision making: the ENDOW study. Ethnicity, Needs, and Decisions of Women.

OBJECTIVE: To investigate physician-patient communication in the context of hysterectomy decision making. METHODS: A series of 17 focus groups with African American and white women (n=82) between the ages of 30 and 65 were run. Personal interviews with ...
Donna L Richter, Melissa J Kenzig, Mary L Greaney, Robert E McKeown, Ruth P Saunders, Sara J Corwin (Am J Health Behav, 200211-12)
physician-patient-interaction-hysterectomy-decision-making-endow.asp

592.

"Cost-effectiveness" estimates result in flawed decision-making in listing drugs for reimbursement.

BACKGROUND: Facing financial pressures, the provinces and territories have chosen to use "cost-effectiveness" for making decisions about drug listings. This study examines the scientific basis for the procedures used to determine cost-effectiveness in 5 ...
Roy West, E Keith Borden, Jean-Paul Collet, Nigel S B Rawson, Robert S Tonks (Can J Public Health, 200211-12)
cost-effectiveness-estimates-result-flawed-decision-making-listing.asp

593.

Communicating with surrogate decision-makers in end-of-life situations: substitutive descriptive language for the healthcare provider.

This article discusses the manner and actual wording used by healthcare providers in communicating difficult information as it relates to end-of-life discussions. Several examples are given and substitutive language is suggested for more effectively ...
Michael Limerick (Am J Hosp Palliat Care, 200211-12)
communicating-surrogate-decision-makers-end-life-situations.asp

594.

Information in medical decision making: how consistent is our management?

BACKGROUND: The use of outcomes data in clinical environments requires a correspondingly greater variety of information used in decision making, the measurement of quality, and clinical performance. As information becomes integral in the decision-making ...
Daniel P Lorence, Amanda Spink, Robert Jameson (Med Decis Making, 200211-12)
information-medical-decision-making-consistent-management.asp

595.

What influences a woman to choose vaginal birth after cesarean?

OBJECTIVE: To discover what influences women in the decision to deliver via vaginal birth after cesarean (VBAC). DESIGN: Descriptive and qualitative, influenced by principles of phenomenology and using content analysis to describe the lived experiences ...
Renee T Ridley, Peggy A Davis, Jane H Bright, Donna Sinclair (J Obstet Gynecol Neonatal Nurs, 200211-12)
influences-woman-choose-vaginal-birth-after-cesarean.asp

596.

Developing scientific and policy methods that support precautionary action in the face of uncertainty--the Institute of Medicine Committee on Agent Orange.

To be precautionary, decisions must be made to prevent the impacts of potentially harmful activities even though the nature and magnitude of harm have not been proven scientifically. The Institute of Medicines Committee on the Health Effects in Vietnam ...
Joel A Tickner (Public Health Rep, 200211-12)
developing-scientific-policy-methods-support-precautionary-action.asp

597.

Transparent Democratic Foresight Strategies in the California EMF Program.

A California Department of Health Services program dealt with possible health effects from Electric and Magnetic Fields (EMF) from power lines. With the advice of stakeholders, and well before any risk determinations were made, transparent policy ...
Raymond Richard Neutra, Vincent Delpizzo (Public Health Rep, 200211-12)
transparent-democratic-foresight-strategies-california-emf-program.asp

598.

Moving further upstream: from toxics reduction to the precautionary principle.

Early policies to reduce the amount of toxic waste in the environment focused on cleaning up downstream sources of pollution, such as toxic disposal sites. Public attention in the 1980s encouraged both industry and government to develop an alternative to ...
Brian Mayer, Phil Brown, Meadow Linder (Public Health Rep, 200211-12)
moving-upstream-toxics-reduction-precautionary-principle.asp

599.

The nurses role in end-of-life decision-making for patients and families.

This article discusses some of the cultural changes required for organizations to build systems that move beyond mere completion of the advance directive to advance care planning that affects end-of-life decision-making. It specifically describes one ...
Linda Briggs, Elaine Colvin (Geriatr Nurs, 200211-12)
nurse-s-role-end-life-decision-making-patients-families.asp

600.

Impact of decision goal on escalation.

This research investigates the sunk-cost effect or escalation defined as the irrational tendency to choose to continue to invest money, time, or effort following unsuccessful investments. Building on previous research demonstrating a loss-sensitivity ...
Niklas Karlsson, Asgeir Juliusson, Gunne Grankvist, Tommy Gärling (Acta Psychol (Amst), 200211)
impact-decision-goal-escalation.asp