Partnerships with Patients
The Pros and Cons of Shared Clinical Decision-Making
Bibliographic Data
| ID | 23358673 |
|---|---|
| Authors | Angela Coulter (0000-0002-6308-8375, King's Fund Development Centre, London, UK, corresponding author) |
| Year | 1997 |
| Volume | 2 |
| Issue | 2 |
| Pages | 112-121 |
| Publication date | 1997-04-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Health Services Research & Policy (JOURNAL) |
| Journal identifiers | ISSN: 1355-8196 • E-ISSN: 1758-1060 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/135581969700200209 |
| PMID | 10180362 |
| OpenAlex | W1951908609 |
| Language | EN |
| Citations received | 60 |
| References cited | 93 |
The traditional style of medical decision-making in which doctors take sole responsibility for treatment decisions is being challenged. Attempts are being made to promote shared decision-making in which patients are given the opportunity to express their values and preferences and to participate in decisions about their care. Critics of shared decision-making argue that most patients do not want to participate in decisions; that revealing the uncertainties inherent in medical care could be harmful; that it is not feasible to provide information about the potential risks and benefits of all treatment options; and that increasing patient involvement in decision-making will lead to greater demand for unnecessary, costly or harmful procedures which could undermine the equitable allocation of health care resources. This article examines the evidence for and against these claims. There is considerable evidence that patients want more information and greater involvement, although knowledge about the circumstances in which shared decision-making should be encouraged, and the effects of doing so, is sparse. There is an urgent need for more research into patients' information needs and preferences and for the development and evaluation of decision-support mechanisms to enable patients to become informed participants in treatment decisions.
Business · Economics · Health care · Medical decision making · Medical emergency · Patient participation · Political science · Public relations · Ethics in medical practice · Medicine · Patient Dignity and Privacy · Patient-Provider Communication in Healthcare · Psychology
A survey of women's preferences regarding alternative surgical treatments for menorrhagia
A qualitative exploration of treatment decision‐making role preference in adult asthma patients
Evaluating Attitudes of First-Year Residents to Shared Decision Making
Patient "Demand" for Medical Interventions
Transformative medical ethics
Doctor in the house
An integrative model of shared decision making in medical encounters
Understanding the Family Context
The disclosure of incidental genomic findings
Sharing a medical decision
Explaining the Absence of the Lay Voice in Sexual Health Through Sociological Theories of Healthcare
How is medical decision‐making shared? The case of haemophilia patients and doctors
Development of a guidebook to promote patient participation in the management of ulcerative colitis
A cluster-randomised controlled trial of a patient-centred guidebook for patients with ulcerative colitis
The community pharmacy and discursive complexity
Self-treatment and its discussion in medical consultations
Evaluating Attitudes of First-Year Residents to Shared Decision Making
Medicine misuse or drug abuse? A critical appraisal of current issues and research in the UK
Anomalous Patients
Discern
Participation preferences of patients with acute and chronic conditions
Evidence‐based medicine in practice
The problematic of decision‐sharing
Development of a patient decision aid for choice of surgical treatment for breast cancer
Decision‐making role preferences and information needs
Has patients’ involvement in the decision‐making process changed over time
Eliciting patients’ preferences for adjuvant chemotherapy in breast cancer
Observing decision‐making in the general practice consultation
Clinical decision‐making in the context of chronic illness
The role of patients' meta‐preferences in the design and evaluation of decision support systems
Challenges in shared decision making in advanced cancer care
Are patients' decision‐making preferences being met
Self‐reported use of shared decision‐making among breast cancer specialists and perceived barriers and facilitators to implementing this approach
Medical tests
Consumers’ views of quality in the consultation and their relevance to ‘shared decision‐making’ approaches
How is patient‐centred care understood by the clinical, managerial and lay stakeholders responsible for promoting this agenda
Is ‘shared decision‐making’ feasible in consultations for upper respiratory tract infections? Assessing the influence of antibiotic expectations using discourse analysis
Governance mechanisms in the physician–patient relationship
Do the British Guidelines for Asthma Management facilitate concordance
Professionalism, Indeterminacy and the EBM Project
Health information needs of visually impaired people
Doing patient-centredness versus achieving public health targets
Discern
Preferences for Participation in Decision Making Among Ethnically Diverse Patients with Anxiety and Depression
Consumerism and professional work in the community pharmacy
Divided care and the Third Way
Appropriateness measurement
Perceptions of Legitimacy
Users' understanding of medical knowledge in general practice
Decision-making in the physician-patient encounter
The meaning of patient involvement and participation in health care consultations
Factors predicting choice of treatment for menorrhagia in gynaecology outpatient clinics
Using Reflexivity to Optimize Teamwork in Qualitative Research
Consumerism in Action
Doctor-patient communication about drugs
Making information 'relevant
Physician as partner or salesman? Shared decision-making in real-time encounters
Shared treatment decision making in a collectively funded health care system
Assessing patients' preferences for treatments for angina using a modified repertory grid method
When is a shared decision not (quite) a shared decision? Negotiating preferences in a general practice encounter
The Silent World of Doctor and Patient
Reduction of Postoperative Pain by Encouragement and Instruction of Patients
Patients’ participation in medical care
A Contribution to the Philosophy of medicine
Measuring patients’ desire for autonomy
Decision making during serious illness
On the Elicitation of Preferences for Alternative Therapies
Information and Participation Preferences Among Cancer Patients
Four Models of the Physician-Patient Relationship
The ceremonial order of the clinic
Meetings Between Experts
Why Britain Can't Afford Informed Consent
Decision-making and informed consent
Studies in everyday medical life
The Effect of a Shared Decisionmaking Program on Rates of Surgery for Benign Prostatic Hyperplasia Pilot Results
Active Patient Orientation and Outcomes in Hypertensive Treatment
Patient Information-Seeking Behaviors When Communicating With Doctors
Assessing the Effects of Physician-Patient Interactions on the Outcomes of Chronic Disease
The Role of Expectations in Patients?? Reports of Post-Operative Outcomes and Improvement Following Therapy
Patient Reactions to a Program Designed to Facilitate Patient Participation in Treatment Decisions for Benign Prostatic Hyperplasia
Going to See the Doctor
Informed consent to elective surgery
Offering patients a choice of surgery for early breast cancer
Information and decision-making preferences of hospitalized adult cancer patients
Rationing health care
Patient participation in decision-making and consent to treatment
What is the Role of the Consumer in Health Care
| Unique citing works | 60 |
|---|---|
| Citations per year | 2,07 |
| Citation span | 1997 - 2024 (28) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 54 |