False clinical and ethical dilemmas may be created when physicians ignore patient characteristics and contexts that are integral to shared decision making.
AMA J Ethics. 2017;19(2):141-146. doi:
10.1001/journalofethics.2017.19.2.ecas1-1702.
Women who are pregnant might not treat their mental illnesses because they overestimate risks of medication and underestimate risks of leaving their illness untreated.
AMA J Ethics. 2016;18(6):614-623. doi:
10.1001/journalofethics.2016.18.6.stas1-1606.
A clinical practice policy prohibiting house calls that opposes the practice standards of individual clinicians may be unethical and reasonable, but it may still be possible to treat patients who prefer house calls while abiding by the policy.
AMA J Ethics. 2015;17(5):419-424. doi:
10.1001/journalofethics.2015.17.5.ecas1-1505.
When deciding whether a pregnant woman will take antidepressants that pose a slight risk to the fetus, the patient and doctor must each make value-based determinations about whether absolute protection of the fetus is more important than preventing the mother’s probable suffering.