Strategies for Judgment and Decision-Making in the Management of Childhood Asthma

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Abstract
Research has indicated that physicians and patients often ignore principles of expected utility in favor of subjective decision-making in treating disease and other physical disorders. The result is often weak control in alleviating the distress experienced by patients, including those with asthma. A number of studies, however, have described more effective processes for applying judgment and decision-making to the management of disease and physical maladies. The basic tenet of this research is that systematic application of judgment rules can produce strategies that greatly improve the decision-making processes of both physicians and patients. The present review summarizes 12 rules of thumb or tactics used by two groups: a group of Gold Standard physicians who specialize in the treatment of asthma and a group of Gold Standard patients. The latter group includes children with asthma and/or their parents. The set of 12 rules, used by both Gold Standard groups, offers considerable promise to both medical personnel and patients for the management of asthma.

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