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Institution: Baylor College of Medicine
Grant Title: A
New Approach to the Allocation of Decisional Authority
Grant Number: K08 HS011289
Total Award: $491,400
Project Description: This project had four main
- To develop and refine the theoretical model characterizing the
appropriate allocation of decisional authority between patient and physician
based on the underlying characteristics of the decision in question.
develop and validate a measure of decisional authority, for use by patients and
physicians, so that the theoretical model can be tested empirically.
conduct a series of descriptive studies, using the measure of decisional
authority, to test specific hypotheses regarding preferences for decisional
- Based on observations from 3 above, prepare an R01
application to extend the work.
Career Goals: Dr. Whitney is an Assistant
Professor in Family and Community Medicine at Baylor College of Medicine and
practiced family medicine in the private sector for 12 years. He is also a law
school graduate and served a one-year fellowship in biomedical ethics.
Progress to Date: Dr. Whitney has successfully
completed his K award. See publications for highlights.
Whitney SN, Brown BW, Brody H, et al. Views of United States
physicians and members of the American Medical Association House of Delegates
on physician-assisted suicide. Journal of General Internal Medicine 2001.
Whitney SN. A new model of medical decisions: Exploring the limits
of shared decision making. Medical Decision 2003. 23(4):275-280.
Whitney SN, McGuire AL, McCullough LB. A typology of shared
decision making, informed consent, and simple consent. Annals of Internal
Medicine 2004. 140(1):54-59.
McGuire AL, McCullough LB, Weller SC, Whitney SN. Physicians' views of patients' participation in medical decision-making.
Medical Care 2005. (43)5:466-470.
Whitney SN, Ethier AM, Fruge E, et al. Decision making in
pediatric oncology—Who should take the lead? The decisional priority in
pediatric oncology model. Journal of Clinical Oncology 2006. 24(1):160-65.
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