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The argumentative role of patient companions in (shared) decision-making

Lotte van Poppel¹, Roosmaryn Pilgram²

¹University of Groningen, Oude Kijk in 't Jatstraat 26, Groningen 9712 EK, the Netherlands.

Patient Education and Counseling

|December 31, 2024

Summary

Patient companions significantly influence medical decisions by engaging in discussions and forming coalitions. Their input in shared decision-making (SDM) is crucial, especially when allied with the patient.

Area of Science:

Medical communication
Argumentation theory
Shared decision-making

Background:

Patient companions play a role in medical consultations.
Understanding their involvement is key to effective shared decision-making (SDM).

Purpose of the Study:

To analyze patient companion involvement in consultation arguments.
To determine when companion contributions are relevant for SDM.

Main Methods:

Qualitative analysis of 10 transcribed medical consultations.
Application of argumentation theory to identify discussion situations, roles, disagreements, and coalitions.

Main Results:

An average of 4.3 discussion situations involving companions per consultation.
Companions participated in disagreements and coalition formations.
Disagreements concerned diagnosis and treatment options.

Conclusions:

Patient companions can significantly influence treatment decisions.
Companion influence depends on their role, disagreement type, and coalition formation.
Companion input should be integrated into SDM, particularly when allied with the patient.

Keywords:

Argumentation theory Coalitions Medical consultations Patient companions Polylogues Shared decision-making Triadic discussions

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