The problematic of decision‐sharing
Deconstructing ‘cholesterol’ in a clinical encounter
Bibliographic Data
| ID | 19508674 |
|---|---|
| Authors | Richard Gwyn (Cardiff University), Glyn Elwyn (0000-0002-0917-6286, Swansea University), Adrian Edwards (0000-0001-7432-2828, Swansea University), Ann Mooney (0000-0002-7411-0195, Cardiff University), Annabelle Mooney |
| Year | 2003 |
| Volume | 6 |
| Issue | 3 |
| Pages | 242-254 |
| Publication date | 2003-09-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Expectations (JOURNAL) |
| Journal identifiers | ISSN: 1369-6513 • E-ISSN: 1369-7625 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1046/j.1369-6513.2003.00245.x |
| PMID | 12940797 |
| OpenAlex | W2107836647 |
| Language | EN |
| Citations received | 6 |
| References cited | 20 |
Shared decision‐making is increasingly advocated as a means of interacting with patients but there is also a widely accepted view that many factors will militate against this ideal. While some patients may not wish to take on the responsibility of decision‐making, it is also evident that many find it difficult to assimilate probabilities about future events and overestimate the likelihood of some outcomes, especially when terms such as ‘stroke’, ‘bleeding’ and ‘heart attack’ are used in consultation and bring with them emotional connotations and reactions. Under such circumstances, should clinicians portray risks as best they can, in the hope that even a marginally improved understanding will be an improvement on unilateral professional decision‐making? Or, conversely, should they ‘guide’ the decision process, acting in a way that is known as ‘professional agency'? Developing some perspectives put forward in recent work by the authors and applying it to a distinct clinical context, this paper will provide (i) a discourse analytic exploration of a single extended example from clinical practice employing aspects of Bakhtin's theory of dialogism, and (ii) a discussion and summary of what we can learn from this analysis in the context of shared decision‐making and risk communication
Data science · Computer Science · Ethics in Clinical Research · Mental Health and Psychiatry · Patient-Provider Communication in Healthcare · Psychology
An integrative model of shared decision making in medical encounters
Of the edgelands”
Risk, rationality, and regret
“What would you recommend doctor?”—Discourse analysis of a moment of dissonance when sharing decisions in clinical consultations
The Option scale
A dialogic model of conversations about risk
The Dialogic Imagination
Problems of Dostoevsky's Poetics
Patients' Preferences for Participation in Clinical Decision Making
Partnerships with Patients
Is ‘shared decision‐making’ feasible in consultations for upper respiratory tract infections? Assessing the influence of antibiotic expectations using discourse analysis
Limits to medicine. Medical nemesis
Health promotion in primary care
Decision-making in the physician-patient encounter
Patient participation in decision-making
The questionable wisdom of a low-fat diet and cholesterol reduction
When is a shared decision not (quite) a shared decision? Negotiating preferences in a general practice encounter
On the syntax of sentences-in-progress
| Unique citing works | 6 |
|---|---|
| Citations per year | 0,29 |
| Citation span | 2005 - 2019 (15) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 6 |