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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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[Shared decision making-strengthening patient-physiciant relations through joint deliberation].

Pola Hahlweg1

  • 1Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland. p.hahlweg@uke.de.

Urologie (Heidelberg, Germany)
|July 21, 2025
PubMed
Summary

Shared decision making (SDM) in urology involves patients and physicians collaborating on treatment choices. Implementing SDM can enhance patient understanding and satisfaction, though barriers exist.

Keywords:
CommunicationPatient centerednessPatient preferencesPatient satisfactionPerson-centered care

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Area of Science:

  • Urology
  • Healthcare Communication
  • Patient-Centered Care

Context:

  • Shared decision making (SDM) is increasingly recognized as crucial for patient-centered healthcare.
  • Numerous decision-making scenarios in urology are suitable for SDM.
  • Current implementation of SDM in routine urological care and associated barriers are not well-defined.

Purpose:

  • To present shared decision making (SDM) as a practical concept for urological practice.
  • To highlight the importance of patient-physician communication in joint decision-making.
  • To identify prerequisites and supportive measures for effective SDM in urology.

Summary:

  • SDM is a collaborative process where patients and physicians share expertise to make informed, individualized treatment decisions.
  • Effective SDM requires appropriate physician attitudes, communication skills, and awareness of preference-sensitive decisions.
  • Models like "Three Talks," patient decision aids, and physician training can facilitate SDM.

Impact:

  • SDM can positively influence patient knowledge and satisfaction in urological care.
  • Overcoming implementation barriers is key to integrating SDM into routine urological practice.
  • Future efforts should focus on targeted approaches and reliable implementation of SDM.