Shared decision-making and patient autonomy
Theoretical Medicine and Bioethics 30 (4):289-310 (2009)
Abstract
In patient-centred care, shared decision-making is advocated as the preferred form of medical decision-making. Shared decision-making is supported with reference to patient autonomy without abandoning the patient or giving up the possibility of influencing how the patient is benefited. It is, however, not transparent how shared decision-making is related to autonomy and, in effect, what support autonomy can give shared decision-making. In the article, different forms of shared decision-making are analysed in relation to five different aspects of autonomy: (1) self-realisation; (2) preference satisfaction; (3) self-direction; (4) binary autonomy of the person; (5) gradual autonomy of the person. It is argued that both individually and jointly these aspects will support the models called shared rational deliberative patient choice and joint decision as the preferred versions from an autonomy perspective. Acknowledging that both of these models may fail, the professionally driven best interest compromise model is held out as a satisfactory second-best choice.Author's Profile
DOI
10.1007/s11017-009-9114-4
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Citations of this work
Investigating Trust, Expertise, and Epistemic Injustice in Chronic Pain.Daniel Z. Buchman, Anita Ho & Daniel S. Goldberg - 2017 - Journal of Bioethical Inquiry 14 (1):31-42.
Getting Obligations Right: Autonomy and Shared Decision Making.Jonathan Lewis - 2020 - Journal of Applied Philosophy 37 (1):118-140.
Investigating Trust, Expertise, and Epistemic Injustice in Chronic Pain.Daniel Goldberg, Anita Ho & Daniel Buchman - 2017 - Journal of Bioethical Inquiry 14 (1):31-42.
Adherence, shared decision-making and patient autonomy.Lars Sandman, Bradi B. Granger, Inger Ekman & Christian Munthe - 2012 - Medicine, Health Care and Philosophy 15 (2):115-127.
Person Centred Care and Shared Decision Making: Implications for Ethics, Public Health and Research.Christian Munthe, Lars Sandman & Daniela Cutas - 2012 - Health Care Analysis 20 (3):231-249.
References found in this work
Utilitarianism: For and Against.J. J. C. Smart & Bernard Williams - 1973 - Cambridge: Cambridge University Press.