PDF Ebook Critical Decisions: How You and Your Doctor Can Make the Right Medical Choices Together, by Peter A. Ubel
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Critical Decisions: How You and Your Doctor Can Make the Right Medical Choices Together, by Peter A. Ubel
PDF Ebook Critical Decisions: How You and Your Doctor Can Make the Right Medical Choices Together, by Peter A. Ubel
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From Booklist
In this passionate plea for patient empowerment, Ubel, a physician with a background in bioethics and behavioral science, promotes ways to assist people in making medical decisions. The best choices must always take into account a patient’s particular values. Major obstacles to shared decision-making by patients and their doctors can include medical terminology (a language barrier), empathy deficit (physicians failing to grasp the emotional needs of patients), and the inability of patients to adequately understand medical evidence (e.g., to comprehend statistics). Ubel uses the stories of patients and his own clinical experiences to illustrate his points. An excellent chapter describes the treatment of his wife’s invasive breast cancer along with the many medical questions and decisions that faced the couple. Ubel’s advice to doctors is solid: “Physicians need to offer recommendations with humility and in a manner that invites divergence of opinion.†His suggestions for patients are equally sage: Be informed. Listen carefully. Ask questions. Get guidance from family, friends, and doctors. Don’t rush big decisions. Always remember, you’re not alone. --Tony Miksanek
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Review
“Decisions affecting our health and our loved ones’ are some of the most important that we make. As a physician and social scientist, Peter Ubel is unparalleled in his understanding of the influences that guide our medical decisions, and here he shows us how we can make better decisions.” (Dan Ariely, bestselling author of The Honest Truth About Disohnesty and Predictably Irrational)“Written with clarity and a touch of humor, this is a quick and thoughtful read, a good choice for patients, and a must for medical professionals.” (Library Journal)“Ubel’s advice for doctors is solid, and his suggestions for patients are equally sage.” (Booklist)
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Product details
Hardcover: 368 pages
Publisher: HarperOne; 1 edition (September 4, 2012)
Language: English
ISBN-10: 0062103822
ISBN-13: 978-0062103826
Product Dimensions:
6 x 1.2 x 9 inches
Shipping Weight: 1.2 pounds (View shipping rates and policies)
Average Customer Review:
4.6 out of 5 stars
31 customer reviews
Amazon Best Sellers Rank:
#480,791 in Books (See Top 100 in Books)
Peter Ubel's book on medical decisions is a wonderful exploration of the issues (and problems) that arise in making decisions about medical treatment. The book is easy to read and engaging, and it addresses topics that we will all need to face sooner or later. We will all have to interact with doctors as we gather information and make important decisions about what sort of medical treatment we want for ourselves and those we love. I think I will approach those decisions better now that I've read Ubel's book.As other reviewers have noted, the point of departure for the book is our current state-of-the-world, where the patient empowerment movement has given us control over medical choices but where we patients still don't have the education and information needed to make those choices intelligently. Ubel explores the history of how we got here, with lots of interesting stories, and he works through how we can get the help we need--from physicians and from technical decision aids--to exercise intelligent control over our treatment options.The book is a fun read, too! Ubel's use of stories and his occasional jokes about even the most serious topics keep you going strong through chapters on things we need to think about, but don't always want to think about. (In a chapter about end-of-life care and decisions to let people cease treatment, he mentions that primary care physicians sometimes tell the joke: "Why do coffins have nails? To keep out the oncologists!")I read the book straight through and then gave it to a friend who is facing some difficult treatment choices for his child. If that's not a recommendation, I don't know what is.
As a fellow researcher in the psychology of medical decision making, I've had the pleasure of following Dr. Ubel's innovative work for years. In Critical Decisions, he applies his notable skills as a physician, a bioethicist, and a behavior scientist to explain how patients and physicians can find themselves stymied by the need to work together to make medical decisions and how patients, in particular, can make better decisions.The book begins with a historical account of the emergence of "patient autonomy" in medical decision making as a moral and legal paradigm, and shows why putting medical decisions solely on the patient, although perhaps a necessary counterweight to centuries of physician paternalism, is also highly problematic, particularly in light of the psychology of decision making which challenges the assumption that simply informing patients is sufficient to enable them to make better decisions. Ubel traces the much more recent ascent of "shared decision making", including the development of patient decision aids, and points out the need for improvements in both patient and physician communication. As patients being more active, he points out, physicians need to be better prepared for active patients. He concludes with eight tips for patients to better partner with their doctors.Ubel has a real flair for explain complex ideas - medical, legal, economic, or psychological - in straightforward and readable language. He makes effective use of his own experiences with patients (and as a patient) to showcase the kinds of issues that arise in shared decision making and point a way forward.Because I know Ubel's work well, I know there are fascinating and important studies that didn't make it into this book. For example, he points out that people without a colostomy assume that living with a colostomy will be worse than it is (according to people who have a colostomy), but he doesn't cover his later study that shows that even people who have formerly had a colostomy (since reversed) also misremember what it was like and return to assuming that a new colostomy would be worse than their past experience would suggest. Of course, collecting all of Ubel's findings would take several additional volumes, so it's not much of a fault. Hopefully, this will lead readers to explore Ubel's (and other) further work beyond the book.In summary, this is an excellent and engaging book for people interested in more meaningful partnerships with their physicians (as well as for physicians trying to understand how to partner with their patients). It's going on my Amazon list of great books on medical decision making.
Interesting and fast read. Amusing and revealing anecdotes. Perhaps there isn't much of a solution. The end of the book leaves a feeling of wishy-washiness without any concrete solutions to take away. Thus one star taken away because in the end, this feels more like a collection of anecdotes rather than a "study" of the problem.
Every one should read this book. It is amazing how many doctors don't want patients to be part of the decision making process. All patients and family members need to insist on being involved in making decisions.
As a medical student, I have seen both patients and physicians struggle to navigate the complex world of medical decision making.Dr. Peter Ubel's book is written in a friendly, conversational manner that makes it easy and enjoyable to read (even for a busy medical student, which is saying something!). He is able to combine his experience as a clinical physician, family member of a cancer survivor, and pre-eminent researcher into a unique perspective that differs from everything else on the market.I know from experience that most healthcare professionals (myself included) initially chose to work in the medical field because we truly wanted to help people. Unfortunately, if we don't educate ourselves about the paradigm of shared decision making we end up hurting the very patients we intended to help. I can't imagine graduating from medical school without reading this book.Critical Decisions is also a must-read for anyone who visits the doctor. I know what I'm getting my family members for Christmas this year! They'll thank me the next time they find themselves in a tricky or confusing conversation at the doctor's office!Thank you to Dr. Ubel for taking the time to write this book!
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