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Invited Commentary
April 11, 2011

Reconciling Physician Bias and RecommendationsComment on “Physicians Recommend Different Treatments for Patients Than They Would Choose for Themselves”

Author Affiliations

Author Affiliations: Palliative Care Program, Department of Medicine, University of Rochester Medical Center, Rochester, New York.

Arch Intern Med. 2011;171(7):634-635. doi:10.1001/archinternmed.2011.98

In the era of patient-centered care, some argue that physicians should refrain from advising patients or recommending a treatment course and instead should neutrally present all the options and leave the final decision making exclusively to patients. We and others think that in a strong physician-patient relationship, physicians should use their medical knowledge and experience to make recommendations to help patients make better-informed choices regarding their treatment.1 Patients may be the ultimate deciders of which treatment to initiate but they need physician expertise and guidance to make the best choices.

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