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Introducing patient values into the decision making process for breast cancer screening
1Management Science Department, Loyola University Chicago, IL 60611, USA.
Women & Health
|January 1, 1996
Summary
Breast cancer screening decisions involve physician-patient communication. This study proposes a model integrating patient values for personalized mammography screening, contrasting it with current population-wide guidelines.
Area of Science:
- Oncology
- Public Health
- Medical Ethics
Background:
- Breast cancer management is a significant public health concern.
- Mammographic screening is a key strategy but its application in the U.S. is debated.
- Physician-patient interaction styles influence healthcare decisions.
Purpose of the Study:
- To review physician-patient interaction styles in breast cancer screening.
- To propose a comprehensive model for shared decision-making in mammography screening.
- To contrast population-wide guidelines with individualized patient-centered approaches.
Main Methods:
- Literature review of physician-patient communication models.
- Development of a comprehensive decision-making model.
- Analysis of current U.S. population-wide screening guidelines.
- Exploration of methods for incorporating individual patient values.
Main Results:
- Existing literature on physician-patient interaction styles is reviewed.
- A novel model is proposed that integrates patient values into screening decisions.
- The limitations of current population-wide mammography screening guidelines are highlighted.
- Methods for eliciting and incorporating patient preferences are discussed.
Conclusions:
- Personalized breast cancer screening decisions should integrate individual patient values and preferences.
- A shift from population-wide guidelines to a patient-centered approach may improve screening outcomes.
- Further research is needed to effectively obtain and include patient values in the decision-making process.