The usefulness of utility assessment as a method for revealing individual patients' desires is limited by two methodological problems. Different utility assessment methods can yield inconsistent results, both within a single clinical context and in different contexts; and the methods may not reflect universal rules that a patient may wish to abide by. To make utility assessment useful to the clinician, future research needs to address these problems in the clinical context.
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Bursztajn et al. (1982) studied this question.
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