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Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
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Related Experiment Video

Updated: Feb 5, 2026

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[Shared decision-making in prostate cancer patients].

S Gröger1,2, C Mäder-Porombka3, C Stang3

  • 1Versorgungsforschung und Implementierungswissenschaften im Gesundheitswesen, Abteilung Allgemeinmedizin und Versorgungsforschung, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Deutschland. Silvia77@web.de.

Der Urologe. Ausg. A
|September 22, 2018
PubMed
Summary

Prostate cancer patients actively engage in shared decision-making (SDM) regarding treatment options. While informed, some patients desire more personalized physician-patient discussions to align with individual preferences.

Keywords:
CancerDoctor-patient-communicationHealth service researchPatient experienceProstate cancer

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Area of Science:

  • Oncology
  • Medical Sociology
  • Health Services Research

Background:

  • Shared decision-making (SDM) is crucial in modern healthcare.
  • Prostate cancer treatment offers diverse options, highlighting the importance of SDM for patients.

Purpose of the Study:

  • To explore patient experiences with shared decision-making (SDM) in prostate cancer treatment.
  • To understand how patients navigate treatment choices and physician interactions.

Main Methods:

  • Qualitative-exploratory study using semi-structured interviews.
  • Interviews were audio-recorded, transcribed, and pseudonymized.
  • Data analyzed using theoretical coding (Glaser and Strauss) to develop an object-based theory.

Main Results:

  • All interviewed patients experienced and reflected on SDM.
  • Patients demonstrated high information levels about their condition and treatment, prioritizing individual preferences.
  • Some patients identified opportunities to enhance physician-patient communication regarding personal preferences.

Conclusions:

  • Prostate cancer patients take an active role in treatment decisions beyond medical information.
  • Many patients seek second opinions to inform their choices.
  • The study highlights the patient perspective; further research is needed to assess the physician's view on the joint decision-making process.