In this paper we revisit and add elements to our earlier conceptual framework on shared treatment decision-making within the context of different decision-making approaches in the medical encounter (Charles, C., Gafni, A., Whelan, T., 1997.
Shared decision-making in the medical encounter : what does it mean ? (or, it takes at least two to tango).
Social Science & Medicine 44,681-692.). This revised framework (I) explicitly identifies different analytic steps in the treatment decision-making process ; (2) provides a dynamic view of treatment decision-making by recognizing that the approach adopted at the outset of a medical encounter may change as the interaction evolves ; (3) identifies decision-making approaches which lie between the three predominant models (paternalistic, shared and informed) and (4) has practical applications for clinical practice, research and medical education.
Rather than advocating a particular approach, we emphasize the importance of flexibility in the way that physicians structure the decision-making process so that individual differences in patient preferences can be respected.
Mots-clés Pascal : Tumeur maligne, Glande mammaire, Relation médecin malade, Prise décision, Traitement, Homme, Femelle, Canada, Amérique du Nord, Amérique, Glande mammaire pathologie
Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Physician patient relation, Decision making, Treatment, Human, Female, Canada, North America, America, Mammary gland diseases
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0348803
Code Inist : 002B20F02. Création : 14/12/1999.