Managing Scientific Uncertainty in Medical Decision Making: The Case of the Advisory Committee on Immunization Practices  

Oleh:

Martinez, J. Michael

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Journal of Medicine and Philosophy vol. 37 no. 1 (Feb. 2012), page 6-27.
Topik: ACIP; Medical Decision Making; Scientific Uncertainty

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: MM80.25 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

This article explores the question of how scientific uncertainty can be managed in medical decision making using the Advisory Committee on Immunization Practices as a case study. It concludes that where a high degree of technical consensus exists about the evidence and data, decision makers act according to a clear decision rule. If a high degree of technical consensus does not exist and uncertainty abounds, the decision will be based on a variety of criteria, including readily available resources, decision-process constraints, and the available knowledge base, among other things. Decision makers employ a variety of heuristic devices and techniques, thereby employing a pragmatic approach to uncertainty in medical decision making. The article concludes with recommendations for managing scientific uncertainty in medical decision making.

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