TY  - JOUR
T1  - PAtient-centered care and preference-sensitive decision making
AU  - Keirns CC, Goold S
Y1  - 2009/10/28
N1  - 10.1001/jama.2009.1550
JO  - JAMA
SP  - 1805
EP  - 1806
VL  - 302
IS  - 16
N2  - 
In most situations, patients value prevention of disease and disability and increased length of life, so patient-centered care and application of evidence-based medicine present no conflict. Despite general preferences for health over disease, however, individuals make trade-offs every day by working in dangerous or stressful jobs, driving too fast, eating too much, smoking, and taking dozens of other risks, large and small. These everyday compromises are also seen in clinical practice. Patients may choose a less expensive medication even if that medication is not quite as effective. They may choose a more limited operation for cancer, explicitly trading off survival for quality of life. They may decline chemotherapy because they feel the adverse effects are not worth the small chance of success.

SN  - 0098-7484
M3  - doi: 10.1001/jama.2009.1550
UR  - http://dx.doi.org/10.1001/jama.2009.1550
ER  -