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Sharing a medical decision.

Coos Engelsma1

  • 1Department of Ethics, Centre for Dentistry and Oral Hygiene, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands. j.engelsma@umcg.nl.

Medicine, Health Care, and Philosophy
|November 27, 2023
PubMed
Summary

Shared decision making (SDM) in healthcare focuses on the product of a shared decision. This study proposes six factors to measure the degree of shared medical decisions, enhancing the physician-patient relationship.

Keywords:
PaternalismPatient autonomyPreference rankingsShared decision making (SDM)

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Area of Science:

  • Medical Ethics
  • Health Services Research
  • Decision Analysis

Background:

  • Shared decision making (SDM) is a prevalent model in the physician-patient relationship.
  • Existing literature primarily focuses on the process of SDM, with less attention paid to the product of shared decisions.

Purpose of the Study:

  • To investigate the product of shared decision making, defining what constitutes a shared medical decision.
  • To propose a framework for evaluating the degree to which a medical decision is shared.

Main Methods:

  • Analysis of the concept of a "shared medical decision" as a product.
  • Development of a framework based on six key considerations for assessing shared decisions.

Main Results:

  • A shared medical decision's degree is determined by six factors: physician and patient rankings of alternatives, individual preference scores, similarity of scores and rankings, and concession sizes.
  • The analysis provides a quantitative approach to understanding shared medical decisions.

Conclusions:

  • Shared medical decisions are valuable and contribute to a better physician-patient relationship.
  • The proposed framework offers implications for clinical practice and future research in SDM.