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La interacción entre la toma de decisiones compartida y la incertidumbre: un análisis conceptual y una ilustración
Arwen H Pieterse1, Fiorella L Huijgens2, Ruben D Vromans3
1Department of Biomedical Data Sciences, Leiden University Medical Center, the Netherlands; University of Oslo, Faculty of Medicine, Oslo, Norway.
Patient education and counseling
|February 20, 2026
Resumen
La toma de decisiones compartida (TDC) implica la gestión de la incertidumbre entre médicos y pacientes. Este estudio explora cómo se manifiesta y se gestiona la incertidumbre durante las decisiones de tratamiento, destacando la necesidad de formación en TDC para abordar esta interacción.
Área de la Ciencia:
- Toma de decisiones en la atención médica
- Comunicación médico-paciente
- Psicología de la salud
Sus antecedentes:
- La toma de decisiones compartida (TDC) es crucial cuando las opciones de tratamiento presentan incertidumbre.
- Tanto los médicos como los pacientes experimentan incertidumbre durante la TDC.
- La intersección de la TDC y la incertidumbre requiere una mayor exploración.
Objetivo del estudio:
- Describir conceptualmente cómo se manifiesta la incertidumbre y afecta a los médicos y pacientes en la TDC.
- Ilustrar empíricamente la expresión y negociación de la incertidumbre durante la toma de decisiones sobre el tratamiento.
Principales métodos:
- Búsqueda bibliográfica sobre la incertidumbre en la TDC.
- Análisis exploratorio de consultas oncológicas grabadas en video.
- Microanálisis de las interacciones médico-paciente centrado en la incertidumbre.
Principales resultados:
- La participación del paciente en la TDC implica un intercambio mutuo de incertidumbre entre médicos y pacientes.
- Los médicos y los pacientes aclaran activamente sus percepciones de incertidumbre.
- Los médicos emplean estrategias para negociar la incertidumbre, aunque el logro del consenso sigue sin estar claro.
Conclusiones:
- Este estudio mejora la comprensión de la interacción entre la incertidumbre y la TDC.
- Abordar y negociar la incertidumbre son vitales para la participación efectiva del paciente en la TDC.
- La formación en TDC debe dotar a los médicos para gestionar la comprensión compartida de la incertidumbre.
Palabras clave:
revisión conceptualmicroanálisis de la interacción clínicanegociaciónoncologíaTDCtratamientoincertidumbreMás Videos Relacionados
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