Shared Decision Making Still a Goal and Not a Practice: How One Physician Learned about the Other Side, The Patient's Perspective

In the last decades “shared decision-making” has been hailed as the new paradigm for the doctor-patient relationship. However, different models of clinical decision-making appear to be compatible with the core tenets of “shared decision-making”. Reconsidering Emanuel and Emanuel (1992) classic analysis, in this paper we distinguish five possible models of clinical decision-making: (i) the ‘instrumental’; (ii) the ‘paternalistic’; (iii) the ‘informative’; (iv) the ‘interpretative’; and (v) the ‘persuasive’ models. For each model we present its fundamental assumptions as well as the role that patients and doctors are expected to play with respect to value-laden dilemmas. We argue that, with the exception of the instrumental model, each of the other four models may be appropriate depending on the circumstances. We conclude by highlighting the importance of structuring clinical care around actual persons - and their unique lives and philosophies - rather than around abstract frameworks.

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The Patient's Perspective on Shared Decision-Making in Advanced Parkinson's Disease: A Cross-Sectional Survey Study

Frontiers in Neurology ◽

10.3389/fneur.2019.00896 ◽

2019 ◽

Vol 10 ◽

Cited By ~ 7

Author(s):

Frouke A. P. Nijhuis ◽

Lieneke van den Heuvel ◽

Bastiaan R. Bloem ◽

Bart Post ◽

Marjan J. Meinders

Keyword(s):

Parkinson’S Disease ◽

Decision Making ◽

Parkinson's Disease ◽

Shared Decision Making ◽

Survey Study ◽

Shared Decision ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Advanced Parkinson’S Disease ◽

Patient’S Perspective

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The Role of Shared Decision-Making in Audiologic Rehabilitation

Perspectives on Aural Rehabilitation and Its Instrumentation ◽

10.1044/arri21.1.15 ◽

2014 ◽

Vol 21 (1) ◽

pp. 15-23 ◽

Cited By ~ 6

Author(s):

Helen Pryce ◽

Amanda Hall

Keyword(s):

Decision Making ◽

Shared Decision Making ◽

Behavior Changes ◽

Shared Decision ◽

Patient Centered ◽

Treatment Information ◽

Centered Care ◽

Potential Risks ◽

Audiologic Rehabilitation

Shared decision-making (SDM), a component of patient-centered care, is the process in which the clinician and patient both participate in decision-making about treatment; information is shared between the parties and both agree with the decision. Shared decision-making is appropriate for health care conditions in which there is more than one evidence-based treatment or management option that have different benefits and risks. The patient's involvement ensures that the decisions regarding treatment are sensitive to the patient's values and preferences. Audiologic rehabilitation requires substantial behavior changes on the part of patients and includes benefits to their communication as well as compromises and potential risks. This article identifies the importance of shared decision-making in audiologic rehabilitation and the changes required to implement it effectively.

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On the evaluation of shared decision making: The Decision Evaluation Scales

PsycEXTRA Dataset ◽

10.1037/e524332011-144 ◽

2004 ◽

Author(s):

P. F. M. Stalmeier ◽

M. S. Roosmalen ◽

L. C. G. Josette Verhoef ◽

E. H. M. Hoekstra-Weebers ◽

J. C. Oosterwijk ◽

...

Keyword(s):

Decision Making ◽

Shared Decision Making ◽

Shared Decision

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