{"id":"https://openalex.org/W2809722992","doi":null,"title":"Evaluating Medical Decision-Making Capacity in Practice.","display_name":"Evaluating Medical Decision-Making Capacity in Practice.","publication_year":2018,"publication_date":"2018-07-01","ids":{"openalex":"https://openalex.org/W2809722992","mag":"2809722992","pmid":"https://pubmed.ncbi.nlm.nih.gov/30215955"},"language":"en","primary_location":{"id":"pmid:30215955","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30215955","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American family physician","raw_type":"Journal Article"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5016130035","display_name":"Craig H Barstow","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1335269842","display_name":"Womack Army Medical Center","ror":"https://ror.org/00ajwxp03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330347796","https://openalex.org/I1335269842","https://openalex.org/I2800250139","https://openalex.org/I2800386880"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Craig Barstow","raw_affiliation_strings":["Womack Army Medical Center, Fort Bragg, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Womack Army Medical Center, Fort Bragg, NC, USA","institution_ids":["https://openalex.org/I1335269842"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074515696","display_name":"Brian Shahan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1335269842","display_name":"Womack Army Medical Center","ror":"https://ror.org/00ajwxp03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330347796","https://openalex.org/I1335269842","https://openalex.org/I2800250139","https://openalex.org/I2800386880"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brian Shahan","raw_affiliation_strings":["Womack Army Medical Center, Fort Bragg, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Womack Army Medical Center, Fort Bragg, NC, USA","institution_ids":["https://openalex.org/I1335269842"]}]},{"author_position":"last","author":{"id":null,"display_name":"Melissa Roberts","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1335269842","display_name":"Womack Army Medical Center","ror":"https://ror.org/00ajwxp03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330347796","https://openalex.org/I1335269842","https://openalex.org/I2800250139","https://openalex.org/I2800386880"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Melissa Roberts","raw_affiliation_strings":["Womack Army Medical Center, Fort Bragg, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Womack Army Medical Center, Fort Bragg, NC, USA","institution_ids":["https://openalex.org/I1335269842"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I1335269842"],"apc_list":null,"apc_paid":null,"fwci":7.9158,"has_fulltext":false,"cited_by_count":88,"citation_normalized_percentile":{"value":0.97715676,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":100},"biblio":{"volume":"98","issue":"1","first_page":"40","last_page":"46"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11678","display_name":"Healthcare Decision-Making and Restraints","score":0.9922000169754028,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11678","display_name":"Healthcare Decision-Making and Restraints","score":0.9922000169754028,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13147","display_name":"Ethics and bioethics in healthcare","score":0.004600000102072954,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medical-decision-making-capacity","display_name":"medical decision-making capacity","score":0.9909999966621399},{"id":"https://openalex.org/keywords/informed-consent","display_name":"informed consent","score":0.9580000042915344},{"id":"https://openalex.org/keywords/capacity-assessment","display_name":"capacity assessment","score":0.7559999823570251},{"id":"https://openalex.org/keywords/decision-making-impairment","display_name":"decision-making impairment","score":0.546999990940094},{"id":"https://openalex.org/keywords/surrogate-decision-making","display_name":"surrogate decision-making","score":0.6579999923706055},{"id":"https://openalex.org/keywords/psychiatric-consultation","display_name":"psychiatric consultation","score":0.6150000095367432},{"id":"https://openalex.org/keywords/treatment-refusal","display_name":"treatment refusal","score":0.5690000057220459}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7446891665458679},{"id":"https://openalex.org/C2777363581","wikidata":"https://www.wikidata.org/wiki/Q15098235","display_name":"Harm","level":2,"score":0.7201098203659058},{"id":"https://openalex.org/C2993710039","wikidata":"https://www.wikidata.org/wiki/Q83500","display_name":"Mental capacity","level":2,"score":0.6745177507400513},{"id":"https://openalex.org/C68122502","wikidata":"https://www.wikidata.org/wiki/Q764527","display_name":"Informed consent","level":3,"score":0.592430591583252},{"id":"https://openalex.org/C2986080485","wikidata":"https://www.wikidata.org/wiki/Q1331926","display_name":"Decision maker","level":2,"score":0.5188578367233276},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.4538232088088989},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.4258120357990265},{"id":"https://openalex.org/C98045186","wikidata":"https://www.wikidata.org/wiki/Q205663","display_name":"Process (computing)","level":2,"score":0.42317795753479004},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3935031592845917},{"id":"https://openalex.org/C539667460","wikidata":"https://www.wikidata.org/wiki/Q2414942","display_name":"Management science","level":1,"score":0.2758616507053375},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.25655433535575867},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.18497619032859802},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.15203234553337097},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.14390361309051514},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.13965249061584473},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.10358649492263794},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000066491","descriptor_name":"Clinical Decision-Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004502","descriptor_name":"Education, Medical, Continuing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007258","descriptor_name":"Informed Consent","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D010358","descriptor_name":"Patient Participation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017408","descriptor_name":"Guidelines as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:30215955","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30215955","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American family physician","raw_type":"Journal Article"},{"id":"mag:2809722992","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30215955","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/16","score":0.800000011920929,"display_name":"Peace, justice, and strong institutions"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":13,"referenced_works":["https://openalex.org/W1539521300","https://openalex.org/W1847168837","https://openalex.org/W1982938755","https://openalex.org/W1984510044","https://openalex.org/W1996068508","https://openalex.org/W2006315130","https://openalex.org/W2040939895","https://openalex.org/W2090084577","https://openalex.org/W2098044110","https://openalex.org/W2126270450","https://openalex.org/W2186469655","https://openalex.org/W2763662912","https://openalex.org/W3123430328"],"related_works":["https://openalex.org/W4407583047","https://openalex.org/W2098044110","https://openalex.org/W2982323130","https://openalex.org/W1492656886","https://openalex.org/W4240574913","https://openalex.org/W2090283914","https://openalex.org/W2415046336","https://openalex.org/W4210867212","https://openalex.org/W1834534859","https://openalex.org/W4289821138"],"abstract_inverted_index":{"Medical":[0],"decision-making":[1,38,98],"capacity":[2,39,85,159,176],"is":[3,29,69,77,92,147,177,186,204],"the":[4,11,17,30,46,50,134,158,172,180,202,223],"ability":[5],"of":[6,32,45,49,52,110,225],"a":[7,20,82,96,111,144,163,184,192,211,218],"patient":[8,185,203],"to":[9,94,125,155,189,206],"understand":[10],"benefits":[12],"and":[13,16,55,61,76,136,143,199,209],"risks":[14,135],"of,":[15],"alternatives":[18],"to,":[19],"proposed":[21],"treatment":[22],"or":[23,122,128,227],"intervention":[24],"(including":[25],"no":[26],"treatment).":[27],"Capacity":[28,68],"basis":[31],"informed":[33],"consent.":[34,237],"Patients":[35],"have":[36,190],"medical":[37,74],"if":[40,62,90],"they":[41,63],"can":[42,64,140,231],"demonstrate":[43],"understanding":[44],"situation,":[47],"appreciation":[48],"consequences":[51],"their":[53,58,66],"decision,":[54],"reasoning":[56],"in":[57,106,168,217],"thought":[59],"process,":[60],"communicate":[65],"wishes.":[67],"assessed":[70],"intuitively":[71],"at":[72],"every":[73],"encounter":[75],"usually":[78],"readily":[79,123],"apparent.":[80],"However,":[81],"more":[83],"formal":[84,150,236],"evaluation":[86],"should":[87,196],"be":[88,166,197],"considered":[89],"there":[91],"reason":[93],"question":[95],"patient's":[97],"abilities.":[99],"Such":[100],"reasons":[101],"include":[102],"an":[103,126],"acute":[104],"change":[105],"mental":[107],"status,":[108],"refusal":[109],"clearly":[112],"beneficial":[113],"recommended":[114],"treatment,":[115],"risk":[116,224],"factors":[117],"for":[118],"impaired":[119],"decision":[120,194,213],"making,":[121],"agreeing":[124],"invasive":[127],"risky":[129],"procedure":[130],"without":[131,235],"adequately":[132],"considering":[133],"benefits.":[137],"Any":[138],"physician":[139],"evaluate":[141],"capacity,":[142,191],"structured":[145],"approach":[146],"best.":[148],"Several":[149],"assessment":[151],"tools":[152],"are":[153],"available":[154],"help":[156],"with":[157,162],"evaluation.":[160],"Consultation":[161],"psychiatrist":[164],"may":[165],"helpful":[167],"some":[169],"cases,":[170],"but":[171],"final":[173],"determination":[174],"on":[175],"made":[178],"by":[179],"treating":[181],"physician.":[182],"If":[183,201],"found":[187],"not":[188],"surrogate":[193,212],"maker":[195,214],"identified":[198],"consulted.":[200],"unable":[205],"give":[207],"consent":[208],"identifying":[210],"will":[215],"result":[216],"delay":[219],"that":[220],"might":[221],"increase":[222],"death":[226],"serious":[228],"harm,":[229],"physicians":[230],"provide":[232],"emergency":[233],"care":[234]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":15},{"year":2024,"cited_by_count":20},{"year":2023,"cited_by_count":10},{"year":2022,"cited_by_count":14},{"year":2021,"cited_by_count":18},{"year":2020,"cited_by_count":8},{"year":2019,"cited_by_count":1},{"year":2013,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2018-07-10T00:00:00"}
