Theoretical Medicine

, Volume 12, Issue 2, pp 157-170

First online:

An integrative model of clinical-ethical decision making

  • Rivka Grundstein-AmadoAffiliated withDepartment of Psychiatry, Baycrest Centre for Geriatric Care

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access


The purpose of this paper is to propose a model of clinical-ethical decision making which will assist the health care professional to arrive at an ethically defensible judgment. The model highlights the integration between ethics and decision making, whereby ethics as a systematic analytic tool bring to bear the positive aspects of the decision making process. The model is composed of three major elements. The ethical component, the decision making component and the contextual component. The latter incorporates the relational aspects between the provider and the patient and the organizational structure. The model suggests that in order to arrive at an ethically, justifiable sound decision one make reference to those three elements.

Key words

decision making process ethical clinical decision making models medical ethics moral thought process organizational structure professional-patient relationship value theory