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" "Communication is not a one-way process. It's not just telling people things. ...[T]he first rule of communication is to shut-up and... just listen... and good doctors will do that. ...Good doctors will listen and explore the person's values and concerns, and... explore to what extent... that person want[s] to be guided... to be told what to do... and that's... appropriate to want... guidance from a trusted source. ...And ...make sure ...before ...that stage, you have ...genuinely laid out the options in a way that gives it balance. You haven't tried to manipulate them... into a particular direction. ...Very difficult ...but ...a worthy objective, and... having done that, it's perfectly reasonable to... then, give advice.
Sir David John Spiegelhalter (born 16 August 1953) is a British statistician and a Fellow of . From 2007 to 2018 he was in the Statistical Laboratory at the University of Cambridge. He is an ISI highly cited researcher and current Chair of the Winton Centre for Risk and Evidence Communication in the . In 2020 he joined the UK Statistics Authority board as a non-executive director for a period of three years, which was extended through to 2026.
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[I]n medicine... ... not manipulation or coercion, is when... as a doctor or... authority, you genuinely believe that this action is in the person's best interests, but they don't... want to do it. ...How do you make that an ethical persuasion? It's based on... two things, first... respecting the autonomy of the individuals, that they can refuse... no matter what, respect their ability to choose... the other thing is your authenticity, your integrity, that... you are doing this on behalf of that individual, for their best interest; not... to keep your clinic numbers up or to stop this person being a nuisance...[etc.]
[W]e tend to think... of something that's going to happen... soon, or is well understood as risk, but if we're talking about what will happen in the world in ten years time. Who's going to start putting chances on this. You'd be... deluded... There's much... deeper uncertainty or... radical uncertainty...
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When epidemiologists... do studies, when they follow lots of people for years, they measure the effects of various habits, in terms of s. This is what it does to your hazard every year. So if you have a daily sausage or a bacon sandwich, this goes up by about 10%, a fixed amount... as your... annual risk. 10% increase in your annual risk of death, of not making it to your next birthday.