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Importance of Shared Decision-Making for Vulnerable Populations

Examples from Postmastectomy Breast Reconstruction

Bibliographic Data

ID19578733
AuthorsVictoria F Grabinski (0000-0002-6324-9159, Washington University in St. Louis), Terence M Myckatyn (0000-0002-9712-6181, Washington University in St. Louis), Clara N Lee (0000-0003-0514-9448, The Ohio State University), Sydney E Philpott-Streiff (Washington University in St. Louis), Mary C Politi (0000-0001-9103-6495, Washington University in St. Louis, corresponding author)
Year2018
Volume2
Issue1
Pages234-238
Publication date2018-09-01
Open AccessYes
TypeARTICLE
VenueHealth Equity (JOURNAL)
Journal identifiersISSN: 2473-1242 • E-ISSN: 2473-1242
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1089/heq.2018.0020
PMID30283872
OpenAlexW2893922490
LanguageEN
Citations received7
References cited27

Shared decision-making (SDM) is a process through which patients and providers collaborate to select a treatment option that aligns with patients' preferences and clinical context. SDM can improve patients' decision quality and satisfaction. However, vulnerable populations face barriers to participation in SDM, which exacerbates disparities in decision quality. This perspective article discusses SDM with vulnerable patients, using examples from patients who made decisions about postmastectomy breast reconstruction. We offer several strategies for clinical practice, medical education, and research to ensure that movements to engage patients in SDM do not exclude already marginalized groups

Clinical Practice · Family medicine · Geography · Patient satisfaction · Sociology · Computer Science · Medicine · Nursing · Palliative Care and End-of-Life Issues · Patient Dignity and Privacy · Patient-Provider Communication in Healthcare · Psychology · Artificial Intelligence

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Citations per year1
Citation span2019 - 2025 (7)
Highly citedNo
Open DOISci-HubOpen Access
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