Your Health, Your Decisions: How to Work with Your Doctor to Become a Knowledge-Powered Patient

In nearly every medical-decision-making encounter, the physician is at the center of the discussion, with the patient the recipient of the physician’s decisions. Dr. Robert Alan McNutt starts from a very different premise: the patient should be at the center. McNutt challenges the physician-directed, medical-expertise model of making decisions, presenting a practical approach augmented by formal exercises designed to give patients the tools and confidence to compare and contrast their health-care options so they can make their own choices. He addresses a number of scenarios, including heart disease, breast cancer, and prostate cancer—conditions that pose a range of choices that patients may face about diagnoses and treatments.

After providing a clear explanation of what is the highest quality medical-decision-making information, McNutt teaches patients to use that information to weigh the harms and benefits of their treatment options, empowering them to ask critical questions as they take a stronger hand in their own care. Your Health, Your Decisions moves from specific scenarios that commonly baffle patients to a systematic exploration of how to make medical decisions. By offering patients the tools they need to be full partners in their own health care, McNutt demystifies what can be a bewildering and even terrifying process.

Robert McNutt, M.D., is a clinician, researcher, teacher, decision analyst, former medical editor, and, now, a decision-making consultant. He is the president and CEO of YouChooseMedical, LLC.