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“As a physician and a social scientist, Peter Ubel is unparalleled in his understanding of some of the most important decisions we are facing, or will face.”
—Dan Ariely, New York Times bestselling author of Predictably Irrational

“His ideas are important, his style is accessible (with the right balance of humor and compassion) and his topic is timely.”
—Dan Gilbert, author of Stumbling on Happiness and host of “This Emotional Life”

All too often, probl

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Book ID Asin: 0062103822
Book Title: Critical Decisions: How You and Your Doctor Can Make the Right Medical Choices Together
Book Author: Peter A. Ubel
Book Format and Price:
Book Format Name: Kindle
Book Format Price: $9.99
Book Format Name: Audiobook
Book Format Price: $0.00
Book Format Name: Hardcover
Book Format Price: $12.35
Book Price: unknown
Book Category: Books, Medical Books, Medicine and unknown
Book Rating: 38 ratings

Critical Decisions: How You and Your Doctor Can Make the Right Medical Choices Together by Peter A. Ubel Book Review

Name: Alan Schwartz
Rating: 5.0 out of 5 stars
Title: Outstanding book for patients and physicians
Date: Reviewed in the United States 🇺🇸 on September 11, 2012
Review: 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.

Name: Karan
Rating: 5.0 out of 5 stars
Title: Should be required for all health professions students; encouraged for everyone else
Date: Reviewed in the United States 🇺🇸 on January 7, 2013
Review: By outlining the evolution of the doctor-patient relationship over across the past few decades, Ubel shows how and why we've arrived at such a thorny time in medical decision-making. Patients come to their doctor more informed and opinionated than ever, and physicians are encouraged to do as the patient wishes--even when it comes at odds with their own professional opinions. But doctors of the old model, keeping decision-making authority to themselves, still abound.

Ubel's historical outline helps frame the provocative chapters that follow, on the irrationality inherent in so much of our most pivotal decisions. Based on years of cutting-edge behavioral research, much of it Ubel's own, I found these to be the most interesting part of the book. I'd encountered many of the studies in my own research on medical decision-making, but never before collected in such a coherent and powerful way.

Finally, Ubel closes with chapters geared toward preparing both physicians and patients for a new era of shared decision-making. This is perhaps the most "practical" part of the book for someone currently grappling with a medical decision, but it might lose its resonance if not for all the anecdotes and analysis leading up to it.

There lies the conflict I see with this otherwise excellent book. At its best, it would serve as a manual for people in the grips of a difficult medical decision. But the historical and theoretical background, though interesting, may discourage someone actively making medical decisions from using this book in the moment. On the other hand, though healthy laypeople should be interested in these issues, I wonder why they'd read an entire book about them (especially with 50 Shades of Grey within reach). Unless, of course, they have prior intellectual or professional interest in the material. Which brings me to the third potential audience: actual members of the health professions (doctors, nurses, etc.). I think every member of the health professions, or at least every student training to join them, should read this book. I've never seen the complexities of bioethics explained so pragmatically and evenhandedly. Worse yet, as a medical student, I've been barraged with outdated imperatives that contribute to many of the problems Ubel observes. I honestly think this could replace the entire decision-making component of medical school education, and much of the bioethics and communication curricula as well.