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Where QRA emphasizes formal quantitative assessment of the probable consequences caused by the recommended actions, and comparison to the probable consequences of alternatives, including the <jats:italic>status quo<\/jats:italic>, concern\u2010driven risk management instead emphasizes perceived urgency or severity of the situation motivating recommended interventions. In many instances, especially those involving applications of the precautionary principle, no formal quantification or comparison of probable consequences for alternative decisions is seen as being necessary (or, perhaps, possible or desirable) prior to implementation of risk management measures. Such concern\u2010driven risk management has been recommended by critics of QRA in several areas of applied risk management. Based on case studies and psychological literature on the empirical performance of judgment\u2010based approaches to decision making under risk and uncertainty, we conclude that, although concern\u2010driven risk management has several important potential political and psychological advantages over QRA, it is not clear that it performs better than (or as well as) QRA in identifying risk management interventions that successfully protect human health or achieve other desired consequences. Therefore, those who advocate replacing QRA with concern\u2010driven alternatives, such as expert judgment and consensus decision processes, should assess whether their recommended alternatives truly outperform QRA, by the criterion of producing preferred consequences, before rejecting the QRA paradigm for practical applications.<\/jats:p>","DOI":"10.1111\/j.1539-6924.2006.00857.x","type":"journal-article","created":{"date-parts":[[2007,3,14]],"date-time":"2007-03-14T01:13:46Z","timestamp":1173834826000},"page":"27-43","source":"Crossref","is-referenced-by-count":18,"title":["Does Concern\u2010Driven Risk Management Provide a Viable Alternative to QRA?"],"prefix":"10.1111","volume":"27","author":[{"suffix":"Jr","given":"Louis","family":"Anthony (Tony) Cox","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,3,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1006\/cogp.1996.0013"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yrtph.2005.08.008"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.spid.2004.01.010"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1539-6924.00308"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/0272-4332.216175"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0160-4120(02)00061-2"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.75.1.19"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/0272-4332.00065"},{"key":"e_1_2_7_10_1","volume-title":"Damned Lies and Statistics: Untangling Numbers from the Media, Politicians, and Activists","author":"Best J","year":"2001"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2753.2001.00284.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tpb.2003.07.001"},{"key":"e_1_2_7_13_1","unstructured":"Buzby J. 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