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Dialogic Consensus as the Moral Philosophical Basis for Shared Decision-making.

Paul Walker1

  • 1Faculty of Health and Medicine, University of Newcastle, Callaghan, New South Wales, Australia.

The Linacre Quarterly
|May 21, 2020
PubMed
Summary

Shared decision-making enhances patient care by exploring patient and clinician values. This process, termed "dialogic consensus," uses moral philosophy for inclusive dialogue to reach optimal patient decisions.

Keywords:
Dialogic consensusMedical ethicsMoral philosophyShared decision-making

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Area of Science:

  • Bioethics
  • Clinical Communication
  • Medical Philosophy

Background:

  • Shared decision-making (SDM) is crucial for patient-centered care.
  • Effective SDM necessitates understanding both patient and clinician values.
  • Integrating ethical principles can strengthen SDM processes.

Purpose of the Study:

  • To explore the foundational principles of shared decision-making.
  • To propose a method for enhancing SDM through moral philosophy.
  • To outline a process for achieving patient-centered treatment decisions.

Main Methods:

  • The study draws upon moral philosophical precepts.
  • It proposes a framework for inclusive, noncoercive, and reflective dialogue.
  • The method aims to facilitate consensual decision-making based on values.

Main Results:

  • Shared decision-making is significantly beneficial for patients.
  • Exploring values is key to effective patient-clinician collaboration.
  • A structured dialogue process, "dialogic consensus," can improve SDM.

Conclusions:

  • Shared decision-making is a vital component of quality healthcare.
  • Moral philosophy offers valuable tools for enhancing clinical consultations.
  • "Dialogic consensus" provides a robust framework for patient-centered care.