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Medical Decision Making

Izet Masic.




Abstract

Everyday, doctors and individuals in the field of healthcare must make calculated decisions which have important consequences, impacting patients on the individual level, and communities and nations on a more global level. Healthcare professionals must at times make these choices with limited information, resources, and knowledge, and yet is is expected that these decisions are highly calculated and accurate. It is important to familiarise oneself with the exact definitions regarding medical decision making. Doing this allows us to delve deeper into more intricate options present within medical de-cision making.Simple put, a decision is a choice between two options. The person or entity conduct-ing that decision is the decision maker. The exact definition is (4) “Under the decision should imply some specific action which is selected from several variables or which satisfies the expectation that is previously set”. Many different factors and individuals may be involved in medical decision making, with varying consequences, according to different players and settings. For example, medical decision making is not, and cannot, be the same in the United States, as it is in Bosnia and Herzegovina. Of course, there are wide differences in GDP between those two countries, and differing ethical beliefs as well. These two small examples illustrate larger differences in financial and cultural factors that constitute differences in these two countries. A vital component of medical decision making is evaluation. Decision makers must concisely evaluate situations, in order to make better choices. For example, when examining a health care sys-tem, their decisions should consider the following questions, such as, what is the health status of the given population? What economic resources are at the disposal of our patients, and government? How effective is the current healthcare model that is already in place?Does the existing social sys-tem pay enough attention to the healthcare protection?Does the organisation structure of the healthcare system satisfy? Are the existing practice and the healthcare technologies secure, effective, and suitable? Are the planning, programming, determination and the choice of priority the ade-quate to the needs of people? How are the monitoring and evaluation of healthcare system quality organised(2)?These are a few examples of evaluation in medical decision making..

Key words: Medical Decision Making. Decision makers.






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