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Shared Decision-Making with Palliative Care Specialist
1Department of Family Medicine, National Taiwan University Hospital, Taipei City, Taiwan.
Journal of Hospice and Palliative Care
|December 10, 2025
Summary
Shared decision-making (SDM) in palliative care ensures patient values guide treatment. This review synthesizes SDM models and future directions for person-centered end-of-life care.
Area of Science:
- Palliative Care
- Medical Ethics
- Health Services Research
Background:
- Shared decision-making (SDM) is crucial for person-centered care in palliative and end-of-life settings.
- Existing models emphasize dialogue, informed preferences, and trust.
Purpose of the Study:
- To review current SDM concepts, models, and future directions for palliative care specialists.
- To explore the integration of SDM with advance care planning and interdisciplinary approaches.
Main Methods:
- Literature synthesis of SDM concepts and models.
- Analysis of practical applications in palliative care, including telehealth.
- Identification of future research priorities and technological advancements.
Main Results:
- SDM models like the three-talk framework promote iterative dialogue and relational trust.
- Integration with advance care planning enhances alignment of treatment with long-term goals.
- Telehealth-based SDM improves documentation, communication, and palliative engagement.
Conclusions:
- SDM in palliative care is a moral and relational process, not just technical.
- Future work should address emotional distress, health literacy, and cultural contexts.
- Emerging technologies may enhance empathy and prognostic understanding in SDM.
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