Abstract
This work focuses on supporting difficult decisions in clinical medicine by using the self-regulation model of decision-making. Core shaping factors of instrumental and value rationality and their role in the decision process are discussed. The concept of decision-making difficulty is discussed, and a classification of problems by their difficulty level is suggested. The mobile application Express Decision is used as an instrumental tool when healthcare providers/health professionals need to make quick decisions for difficult problems under uncertainty. The application of Express Decision for shared decision-making in advanced heart failure is demonstrated.
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