Patient Doctor Decision Making About Treatment Within the Consultation : A Critical Analysis of Models  

Oleh:

Wirtz, Veronika ; Cribb, Alan ; Barber, Nick

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 1 (Jan. 2006), page 116-124.
Topik: communication; doctor patient communication; decision making models; shared decision making; informed decision making; professional accountability

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.1 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

This paper highlights some of the limitations of models of patient involvement in decision making and explores the reasons for and implicationd of these limitations. Taking the three models of interpretative shared and informed decision making as examples, we focus on two limtiations of the models : 1. neglect of which decisions the patient should be involved in (the framing problem), and 2. how the patient should be involved in decision making (the nature of reasoning problem). Although there will inevitably be a gap between models and practice this much is in the nature of the models, we suggest that these two issues are substantially neglected by the models and yet are fundamental to understanding patient doctor decision making. We also suggest that the fundamental problem that lies behind these limitations is insufficient attention to and explicitness about, the dilemmas of professional ethics, which are played out in the professional aptient relationship that the models are supposed to represent, particularly with respect to the issue of expert and lay accountability.

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