Shared decision-making and patient autonomy

Theoretical Medicine and Bioethics 30 (4):289-310 (2009)

Authors
Christian Munthe
Göteborgs Universitet
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.
Keywords Shared decision-making  Patient autonomy  Patient choice  Paternalism
Categories (categorize this paper)
DOI 10.1007/s11017-009-9114-4
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

Our Archive


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 40,625
Through your library

References found in this work BETA

Principles of Biomedical Ethics.Tom L. Beauchamp - 1979 - Oxford University Press.
Creating the Kingdom of Ends.Christine M. Korsgaard - 1996 - Cambridge University Press.
Creating the Kingdom of Ends.Allen W. Wood & Christine M. Korsgaard - 1998 - Philosophical Review 107 (4):607.
The Theory and Practice of Autonomy.Gerald Dworkin - 1988 - Philosophy 64 (250):571-572.

View all 16 references / Add more references

Citations of this work BETA

Health-Care Needs and Shared Decision-Making in Priority-Setting.Erik Gustavsson & Lars Sandman - 2015 - Medicine, Health Care and Philosophy 18 (1):13-22.

View all 14 citations / Add more citations

Similar books and articles

Analytics

Added to PP index
2009-08-26

Total views
186 ( #36,605 of 2,242,249 )

Recent downloads (6 months)
9 ( #160,510 of 2,242,249 )

How can I increase my downloads?

Downloads

My notes

Sign in to use this feature