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‘First ensure no regret’

A decision-theoretic approach to informed consent in clinical practice

Bibliographic Data

ID21514124
AuthorsNarcyz Ghinea (0000-0002-1457-7252, Macquarie University, corresponding author)
Year2025
Volume51
Issue11
Pages789-790
Publication date2025-11-01
Open AccessNo
TypeARTICLE
VenueJournal of Medical Ethics (JOURNAL)
Journal identifiersISSN: 0306-6800 • E-ISSN: 1473-4257
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/jme-2023-109087
PMID37156604
OpenAlexW4375858835
LanguageEN
Citations received2
References cited15

Decision theorists recognise that information is valuable only insofar as it has the potential to change a decision. This means that since acquiring more information is time-consuming and sometimes expensive, judgements need to be made about what information is most valuable to acquire, and whether it is worth acquiring at all. In this article I apply this idea to informed consent and argue that the most valuable information relates not to what the best treatment option may be but to possible futures a patient may regret. I conclude by proposing a regret-minimisation framework for informed consent that I contend better captures the true nature of shared decision making than existing formulations

Alternative medicine · Economics · Futures contract · Informed consent · Machine learning · Management science · Regret · Computer Science · Ethics in medical practice · Medicine · Patient Dignity and Privacy · Patient-Provider Communication in Healthcare · Psychology

  • What about the reasonableness of patients’ risk attitudes? A challenge to Makins’ antipaternalistic account

    Narcyz Ghinea•Journal of Medical Ethics•2023

  • Uncertain medicine

    Mehrunisha Suleman•Journal of Medical Ethics•2025

  • The Limits of Informed Consent for an Overwhelmed Patient

    Open Access•Johan C Bester, Cristie M Cole et al.•The AMA Journal of Ethic•2016

  • What Does the Evolution From Informed Consent to Shared Decision Making Teach Us About Authority in Health Care

    Open Access•James F Childress, Marcia Day Childress•The AMA Journal of Ethic•2020

  • Informed Consent and Performance Data

    Rebekah Mcwhirter•University of New South Wales Law…•2017

Citations per year0.67
Citation span2023 - 2025 (3)
Highly citedNo

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