Beginning with the proposition that the western medical tradition of emphasizing patient autonomy undermines a patient’s ability to limit his or her role in medical decision-making, the author of this student note proposes a model of informed waiver to counterbalance the perceived legal bias towards informed consent. Part I explains the western notion of patient autonomy in two distinct ways: f...

Administrative issues are of vital importance to organizations adopting distributed database technology. Most research systems and emerging commercial DDBMSs have assumed site autonomy as a guiding principle. This paper presents some general problems associated with autonomy and administration in a DDBMS, and discusses the incompatibility between replication transparency and site autonomy. In a...

This study investigated factors that influence patients' desired level of autonomy in medical decisions. Analyses included previously supported demographic variables in addition to risk-taking and gambling behaviors, which exhibit a strong relationship with overall health and decision-making, but have not been investigated in conjunction with medical autonomy. Participants (N = 203) completed m...

This research item has investigated the problem space of Mission Planning and Decision Making in order to enable conceptual epochs of MPDM capability to be defined from which priorities for theme research could be identified. It has approached this by considering three view points: recognising the challenges that needs to be addressed by technologies to enable deliberative autonomy, to understa...

Cardiopulmonary resuscitation (CPR) may be used by default on patients suffering a cardiac arrest in hospital in the UK unless there is an order that specifies otherwise in the patient's notes. Guidelines recommend that the decision involves competent and willing patients or, in the case of incapacitation, their families. In practice, patient autonomy is often compromised. Ideally, discussion o...

The paper proposes a context-driven approach to decision making in flexible networked organisations for the purpose of selecting partners for a specific task. The main idea of the approach is to represent the members of the networked organisation by services they provide. This makes it possible to replace the configuration of the networked organisation with that of services constituting it. Suc...

OBJECTIVES Most developed countries do not have compulsory immunisation requirements, but instead issue recommendations. Although parents are expected to make an informed, autonomous (ie, empowered) decision regarding their children's vaccinations, there is no evidence about how parents' interpret this demand nor on the latitude of their decision-making. The goal of this study is to gain insigh...

INTRODUCTION The past two decades have seen substantial change in the way medicine is practised in the UK, with a decisive shift away from paternalistic medicine. This has involved an increasing emphasis on the rights, views, and choices of patients, and on respect for their autonomy in decision making with regards to their health care. At the same time, however, has come the recognition that t...

Figure 1: Illustration: an HMT architecture that is lower bounded for generic performance metrics under a variety of teaming stressors. We begin with a disquieting paradox: human machine teaming (HMT) often produces results worse than either the human or machine would produce alone. Critically, this failure is not a result of inferior human modeling or a suboptimal autonomy: even with perfect k...

BACKGROUND Although a large body of studies documents that women's autonomy in the household is associated with better reproductive health outcomes, these studies typically examined autonomy only from women's point of view. The current study employs husband's and wife's perspectives together to examine the relationship between the decision-making arrangements in the household and the women's us...