Patient preferences
n Many clinicians cite patient preferences as a reason not to
abide by recommendations for action associated with
outcomes data
n What if data predict that an intervention will be no more
effective than doing nothing
–  but clinicians believe patient  preferences for an action provide an
overriding justification for intervening anyway
n What if some clinicians believe findings that an
intervention will have an effect and agree with the
finding’s recommendations for action
–  nevertheless do not proceed when faced with patient resistance,
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