Moving towards shared decision making in the physician-patient encounter in France: State of the art and future prospects

Author(s):  
Nora Moumjid ◽  
Julien Carretier ◽  
Giovanna Marsico ◽  
François Blot ◽  
Christine Durif-Bruckert ◽  
...  
Author(s):  
Nora Moumjid ◽  
Christine Durif-Bruckert ◽  
Véronique Denois-Régnier ◽  
Pauline Roux ◽  
Fanny Soum-Pouyalet

Author(s):  
Paul Muleli Kioko ◽  
Pablo Requena Meana

Abstract Shared Decision-Making is a widely accepted model of the physician–patient relationship providing an ethical environment in which physician beneficence and patient autonomy are respected. It acknowledges the moral responsibility of physician and patient by promoting a deliberative collaboration in which their individual expertise—complementary in nature, equal in importance—is emphasized, and personal values and preferences respected. Its goal coincides with Pellegrino and Thomasma’s proximate end of medicine, that is, a technically correct and morally good healing decision for and with a particular patient. We argue that by perfecting the intellectual ability to apprehend the complexity of clinical situations, and through a perfection of the application of the first principles of practical reason, prudence is able to point toward the right and good shared medical decision. A prudent shared medical decision is therefore always in keeping with the kind of person the physician and the patient have chosen to be.


2021 ◽  
Vol 02 (01) ◽  
pp. 111-117
Author(s):  
Wei Wang

Shared decision making (SDM) is a process by which physicians and patients jointly participate in choosing to pursue one of several alternatives in a clinical decision. It is most relevant for decisions that involve significant potential harms and benefits with tradeoffs and uncertainty. This paper provides a state-of-the-art review about SDM covering its concept, value, implementation and application in emergency management and communication. SDM is valuable in the process of making decisions which patients may benefit most from, thus resulting in satisfying patient-centered outcomes. Although SDM can be challenging to incorporate into clinical practice, it is likely to become a useful tool of communication in future.


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