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About the Site:

This is the blog for the forthcoming book Medical Decision Making: A Physician's Guide, by Alan Schwartz and George Bergus (Cambridge University Press, 2008). The book is now available for pre-order from Cambridge University Press

About the Authors:

Alan Schwartz, Ph.D. is an Associate Professor of Medical Education and Pediatrics at the University of Illinois at Chicago College of Medicine, where he teaches and conducts research on physician and patient decision making.

George Bergus, M.D., M.A. is the Dr. William and Sondra Myers Family Professor of Family Medicine at the University of Iowa Carver College of Medicine, and Co-Director of the Family Practice/Psychiatry Residency program. He holds a Certificate of Additional Qualification in Geriatrics.

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Goals and swing weighting

November 6th, 2006 by Alan Schwartz

Every guide to decision making emphasizes the importance of goals. Decision makers must clarify their goals when making a decision, lest they make choices that will not serve their ends. To consider alternatives without knowing one’s goals is to let the tail wag the dog.

Practically speaking, most medical decision models don’t (and perhaps can’t) consider patient goals directly. Good clinicians, however, must (and do).

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Posted in Goals of medical care | 5 Comments »