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Shared Decision-Making with Palliative Care Specialist.

Hsien-Liang Huang1

  • 1Department of Family Medicine, National Taiwan University Hospital, Taipei City, Taiwan.

Journal of Hospice and Palliative Care
|December 10, 2025
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Summary
This summary is machine-generated.

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.

Keywords:
Advance care planningPalliative carePatient care planningShared decision-making

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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.