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Related Experiment Video

Updated: Mar 7, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

[Shared decision-making for good care; we cannot make it any easier].

I Henselmans¹, M Kunneman, H W M van Laarhoven

¹Academisch Medisch Centrum-Universiteit van Amsterdam, Amsterdam.

Nederlands Tijdschrift Voor Geneeskunde

|February 23, 2017

Summary

Shared decision-making in cancer care prioritizes high-quality, patient-centered support over solely autonomous patient choices. This approach acknowledges patient vulnerability and aims to reduce the burden of decision-making.

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Area of Science:

Oncology
Medical Ethics
Patient Care

Background:

Cancer diagnosis increases patient vulnerability and insecurity.
Patient empowerment and increased treatment options can paradoxically increase the burden of autonomy.

Purpose of the Study:

To re-evaluate the primary objective of shared decision-making in oncology.
To propose that high-quality, patient-centered care is the main goal, not solely autonomous patient choice.

Main Methods:

Conceptual analysis of shared decision-making principles.
Ethical considerations in patient autonomy within cancer care.

Main Results:

The appeal to patient autonomy can be burdensome for vulnerable cancer patients.
Shared decision-making's core aim is to deliver patient-centered care.

Conclusions:

Shared decision-making should focus on providing excellent, individualized care.
The goal is not to force autonomous decisions but to support patients effectively.