Jump to ContentJump to Main Navigation
Handbook of Communication in Oncology and Palliative
Care$
Users without a subscription are not able to see the full content.

David Kissane, Barry Bultz, Phyllis Butow, and Ilora Finlay

Print publication date: 2010

Print ISBN-13: 9780199238361

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780199238361.001.0001

Show Summary Details
Page of

PRINTED FROM OXFORD SCHOLARSHIP ONLINE (www.oxfordscholarship.com). (c) Copyright Oxford University Press, 2019. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 07 December 2019

Shared treatment decision-making and the use of decision-aids

Shared treatment decision-making and the use of decision-aids

Chapter:
(p.41) Chapter 4 Shared treatment decision-making and the use of decision-aids
Source:
Handbook of Communication in Oncology and Palliative Care
Author(s):

Cathy Charles

Amiram Gafni

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199238361.003.0004

Over the past fifteen years or so, shared decision-making, a specific approach to making decisions in the medical encounter, has received considerable conceptual and practical attention among physicians, social scientists, and ethicists. In addition, governments and professional associations in different countries are developing patient charters/bills of rights to promote responsiveness to, and involvement of, patients in treatment decision-making. This widespread interest in shared decision-making derives from changes in ethical and legal notions of patient rights and is reflected in the language we now use to convey these: for example, patient rights of informed choice in treatment decision-making, rather than the more limited concept of informed consent. The former is a stronger message, encompassing broader principles of patient autonomy, control, patient challenge to physician authority, and patient participation in treatment decision-making. This chapter defines shared treatment decision-making and compares it to two other models: the paternalistic model and the informed model. It also discusses clinical contexts for partnership relationships and the use of treatment decision-aids as a means to implement shared decision-making.

Keywords:   shared decision-making, treatment, patients, patient rights, paternalistic model, informed model, decision-aids

Oxford Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs , and if you can't find the answer there, please contact us .