Ethics of uncertainty.

Decision-making Ethics Evidence Inferences Uncertainty

Journal

Patient education and counseling
ISSN: 1873-5134
Titre abrégé: Patient Educ Couns
Pays: Ireland
ID NLM: 8406280

Informations de publication

Date de publication:
11 2021
Historique:
received: 07 07 2021
accepted: 12 07 2021
pubmed: 28 7 2021
medline: 8 1 2022
entrez: 27 7 2021
Statut: ppublish

Résumé

Uncertainty is inherent in clinical medicine. However, just because absolute certainty is unachievable does not mean that rational and optimal decisions cannot be made. It is argued that we need to distinguish legitimate from illegitimate scientific uncertainties that are generated by manufacturing doubts aiming to create mis- and disinformation. The attempt to create doubts implies that actions under uncertainties are impossible. Such a belief ultimately harms public, which requires reasoned actions within a context of genuine scientific and medical uncertainties. The latter indicates that rational decisions, even in the absence of guaranteed absolute certainty, are not only possible but, on average, beneficial both for society and individuals.

Identifiants

pubmed: 34312034
pii: S0738-3991(21)00484-5
doi: 10.1016/j.pec.2021.07.025
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

2628-2634

Informations de copyright

Copyright © 2021 Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Competing interest I have no competing interest in relation to this manuscript

Auteurs

Benjamin Djulbegovic (B)

Beckman Research Institute, Department of Computational & Quantitative Medicine, City of Hope, 1500 East Duarte Rd., Duarte, CA, USA; Division of Health Analytics, 1500 East Duarte Rd., Duarte, CA, USA; Evidence-based Medicine & Comparative Effectiveness Research, 1500 East Duarte Rd., Duarte, CA, USA. Electronic address: bdjulbegovic@coh.org.

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Classifications MeSH