Results for 'shared decision making'

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  1.  96
    Shared Decision Making, Paternalism and Patient Choice.Lars Sandman & Christian Munthe - 2010 - Health Care Analysis 18 (1):60-84.
    In patient centred care, shared decision making is a central feature and widely referred to as a norm for patient centred medical consultation. However, it is far from clear how to distinguish SDM from standard models and ideals for medical decision making, such as paternalism and patient choice, and e.g., whether paternalism and patient choice can involve a greater degree of the sort of sharing involved in SDM and still retain their essential features. In the (...)
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  2. Shared Decision-Making and Patient Autonomy.Lars Sandman & Christian Munthe - 2009 - Theoretical Medicine and Bioethics 30 (4):289-310.
    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 (...)
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  3.  83
    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.
    In recent years the formerly quite strong interest in patient compliance has been questioned for being too paternalistic and oriented towards overly narrow biomedical goals as the basis for treatment recommendations. In line with this there has been a shift towards using the notion of adherence to signal an increased weight for patients’ preferences and autonomy in decision making around treatments. This ‘adherence-paradigm’ thus encompasses shared decision-making as an ideal and patient perspective and autonomy as (...)
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  4. Does Shared Decision Making Respect a Patient's Relational Autonomy?Jonathan Lewis - 2019 - Journal of Evaluation in Clinical Practice 25 (6):1063-1069.
    According to many of its proponents, shared decision making ("SDM") is the right way to interpret the clinician-patient relationship because it respects patient autonomy in decision-making contexts. In particular, medical ethicists have claimed that SDM respects a patient's relational autonomy understood as a capacity that depends upon, and can only be sustained by, interpersonal relationships as well as broader health care and social conditions. This paper challenges that claim. By considering two primary approaches to relational (...)
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  5.  16
    Shared DecisionMaking in Maternity Care: Acknowledging and Overcoming Epistemic Defeaters.Keith Begley, Deirdre Daly, Sunita Panda & Cecily Begley - 2019 - Journal of Evaluation in Clinical Practice 25 (6):1113-1120.
    Shared decisionmaking involves health professionals and patients/clients working together to achieve true person‐centred health care. However, this goal is infrequently realized, and most barriers are unknown. Discussion between philosophers, clinicians, and researchers can assist in confronting the epistemic and moral basis of health care, with benefits to all. The aim of this paper is to describe what shared decisionmaking is, discuss its necessary conditions, and develop a definition that can be used in practice to (...)
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  6.  69
    Shared DecisionMaking and Maternity Care in the Deep Learning Age: Acknowledging and Overcoming Inherited Defeaters.Keith Begley, Cecily Begley & Valerie Smith - 2021 - Journal of Evaluation in Clinical Practice 27 (3):497–503.
    In recent years there has been an explosion of interest in Artificial Intelligence (AI) both in health care and academic philosophy. This has been due mainly to the rise of effective machine learning and deep learning algorithms, together with increases in data collection and processing power, which have made rapid progress in many areas. However, use of this technology has brought with it philosophical issues and practical problems, in particular, epistemic and ethical. In this paper the authors, with backgrounds in (...)
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  7. Shared Decision-Making, Gender and New Technologies.Kristin Zeiler - 2007 - Medicine, Health Care and Philosophy 10 (3):279-287.
    Much discussion of decision-making processes in medicine has been patient-centred. It has been assumed that there is, most often, one patient. Less attention has been given to shared decision-making processes where two or more patients are involved. This article aims to contribute to this special area. What conditions need to be met if decision-making can be said to be shared? What is a shared decision-making process and what is a (...)
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  8. Shared Decision-Making for Implantable Cardioverter-Defibrillators: Policy Goals, Metrics, and Challenges.Birju R. Rao, Faisal M. Merchant, David H. Howard, Daniel Matlock & Neal W. Dickert - 2021 - Journal of Law, Medicine and Ethics 49 (4):622-629.
    Shared decision-making has become a new focus of health policy. Though its core elements are largely agreed upon, there is little consensus regarding which outcomes to prioritize for policy-mandated shared decision-making.
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  9.  21
    Why Shared Decision Making is Not Good Enough: Lessons From Patients.Gert Olthuis, Carlo Leget & Mieke Grypdonck - 2014 - Journal of Medical Ethics 40 (7):493-495.
    A closer look at the lived illness experiences of medical professionals themselves shows that shared decision making is in need of a logic of care. This paper underlines that medical decision making inevitably takes place in a messy and uncertain context in which sharing responsibilities may impose a considerable burden on patients. A better understanding of patients’ lived experiences enables healthcare professionals to attune to what individual patients deem important in their lives. This will contribute (...)
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  10.  60
    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.
    This paper presents a systematic account of ethical issues actualised in different areas, as well as at different levels and stages of health care, by introducing organisational and other procedures that embody a shift towards person centred care and shared decision-making (PCC/SDM). The analysis builds on general ethical theory and earlier work on aspects of PCC/SDM relevant from an ethics perspective. This account leads up to a number of theoretical as well as empirical and practice oriented issues (...)
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  11.  30
    Shared Decision Making After MacIntyre.J. Tilburt - 2011 - Journal of Medicine and Philosophy 36 (2):148-169.
    This paper explores the practical consequences that Enlightenment ideals had on morality as it applies to clinical practice, using Alisdair MacIntyre's conceptualization and critique of the Enlightenment as its reference point. Taking the perspective of a practicing clinician, I critically examine the historical origins of ideas that made shared decision making (SDM) a necessary and ideal model of clinician-patient relationship. I then build on MacIntyre's critique of Enlightenment thought and examine its implications for conceptions of shared (...)
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  12.  4
    Shared Decision-Making in the Determination of Death by Neurologic Criteria.Alexander A. Kon - 2020 - American Journal of Bioethics 20 (6):30-32.
    Volume 20, Issue 6, June 2020, Page 30-32.
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  13.  25
    Shared Decision Making Bei Seltenen ErkrankungenShared Decision Making in Rare Diseases.Franziska Krause - 2019 - Ethik in der Medizin 31 (2):131-141.
    ZusammenfassungSeltene Erkrankungen stellen in vielerlei Hinsicht eine Herausforderung für unser Gesundheitssystem dar. Am deutlichsten wird dies in der Frage, wie Menschen mit einer seltenen Erkrankung eine gute Versorgung und der Zugang zu Forschung vor dem Hintergrund der niedrigen Prävalenz der meisten seltenen Erkrankungen ermöglicht werden kann. Auch auf der Ebene der Arzt-Patient-Beziehung weist der Umgang mit Menschen mit einer seltenen Erkrankung Besonderheiten auf, die es vor allem beim Shared Decision Making zu berücksichtigen gilt. An zwei aktuellen Beispielen, (...)
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  14. Getting Obligations Right: Autonomy and Shared Decision Making.Jonathan Lewis - 2020 - Journal of Applied Philosophy 37 (1):118-140.
    Shared Decision Making (‘SDM’) is one of the most significant developments in Western health care practices in recent years. Whereas traditional models of care operate on the basis of the physician as the primary medical decision maker, SDM requires patients to be supported to consider options in order to achieve informed preferences by mutually sharing the best available evidence. According to its proponents, SDM is the right way to interpret the clinician-patient relationship because it fulfils the (...)
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  15.  9
    Shared Decision Making: How Can It Be Helpful in Reducing Medical Overuse Due to Medical Misinformation Mess?Morteza Arab-Zozani, Ray N. Moynihan & Mohammad Zakaria Pezeshki - 2020 - Journal of Evaluation in Clinical Practice 26 (2):602-603.
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  16.  7
    Meaningful Shared DecisionMaking: Complex Process Demanding Cognitive and Emotional Skills.Ruth Stalnikowicz & Mayer Brezis - 2020 - Journal of Evaluation in Clinical Practice 26 (2):431-438.
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  17.  3
    Shared DecisionMaking in Mental and Behavioural Health Interventions.Wilson T. Trusty, Elizabeth A. Penix, A. Andrew Dimmick & Joshua K. Swift - 2019 - Journal of Evaluation in Clinical Practice 25 (6):1210-1216.
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  18.  3
    Shared Decision Making in the Social Services? Reasons to Consider When Choosing Methods for Service User Participation.Pia Nykänen - 2020 - Journal of Evaluation in Clinical Practice 26 (2):569-574.
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  19.  14
    Shared Decision Making: A Dual‐Layer Model to Tackling Multimorbidity in Primary Care.Chirk Jenn Ng, Yew Kong Lee, Adina Abdullah, Ahmad Ihsan Abu Bakar, Abdul Malik Tun Firzara & Han Wei Tiew - 2019 - Journal of Evaluation in Clinical Practice 25 (6):1074-1079.
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  20.  25
    Shared Decision Making Observed in Clinical Practice: Visual Displays of Communication Sequence and Patterns.Glyn Elwyn, Adrian Edwards, Michel Wensing, Richard Hibbs, Clare Wilkinson & Richard Grol - 2001 - Journal of Evaluation in Clinical Practice 7 (2):211-221.
  21.  8
    Shared DecisionMaking (SDM) in Dentistry: A Concise Narrative Review.Farah Asa'ad - 2019 - Journal of Evaluation in Clinical Practice 25 (6):1088-1093.
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  22.  9
    Shared Decision Making: Does a Physician's DecisionMaking Style Affect Patient Participation in Treatment Choices for Primary Immunodeficiency?Christopher C. Lamb, Yunmei Wang & Kalle Lyytinen - 2019 - Journal of Evaluation in Clinical Practice 25 (6):1102-1110.
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  23.  19
    Prudence in Shared Decision-Making: The Missing Link Between the “Technically Correct” and the “Morally Good” in Medical Decision-Making.Paul Muleli Kioko & Pablo Requena Meana - 2021 - Journal of Medicine and Philosophy 46 (1):17-36.
    Shared Decision-Making is a widely accepted model of the physician–patient relationship providing an ethical environment in which physician beneficence and patient autonomy are respected. It acknowledges the moral responsibility of physician and patient by promoting a deliberative collaboration in which their individual expertise—complementary in nature, equal in importance—is emphasized, and personal values and preferences respected. Its goal coincides with Pellegrino and Thomasma’s proximate end of medicine, that is, a technically correct and morally good healing decision for (...)
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  24.  5
    Shared DecisionMaking Across the Specialties: Much Potential but Many Challenges.Dilraj Kalsi, Joel Ward, Regent Lee, Kenneth Fulford & Ashok Handa - 2019 - Journal of Evaluation in Clinical Practice 25 (6):1050-1054.
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  25.  13
    Health-Care Needs and Shared Decision-Making in Priority-Setting.Erik Gustavsson & Lars Sandman - 2015 - Medicine, Health Care and Philosophy 18 (1):13-22.
    In this paper we explore the relation between health-care needs and patients’ desires within shared decision-making in a context of priority setting in health care. We begin by outlining some general characteristics of the concept of health-care need as well as the notions of SDM and desire. Secondly we will discuss how to distinguish between needs and desires for health care. Thirdly we present three cases which all aim to bring out and discuss a number of queries (...)
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  26.  3
    Is Shared DecisionMaking to Blame for the Provision of Ethically Inappropriate Treatment? Results of a Multi‐Site Study Exploring Physician Understanding of the “Shared” Model of Decision Making.Joshua T. Landry - 2021 - Journal of Evaluation in Clinical Practice 27 (4):826-835.
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  27.  2
    Shared DecisionMaking in Outpatients with Mental Disorders: Patients´ Preferences and Associated Factors.Inés Morán-Sánchez, Paula Gómez-Vallés, María Ángeles Bernal-López & María Dolores Pérez-Cárceles - 2019 - Journal of Evaluation in Clinical Practice 25 (6):1200-1209.
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  28.  63
    Shared Decision Making: Evaluation of German Medical Students' Preferences.Heide B. Schneider & Hagen Sandholzer - 2008 - Journal of Evaluation in Clinical Practice 14 (3):435-438.
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  29.  7
    Shared Decision-Making and the Lower Literate Patient.David I. Shalowitz & Michael S. Wolf - 2004 - Journal of Law, Medicine and Ethics 32 (4):759-764.
    In recent years, shared decision-making has become entrenched in the medical literature and the law as the ideal method for involving patients in decisions related to their health care. Shared decision-making represents a compromise between the opposed extremes of paternalistic interactions that limit patients’ control of their health care, and “informed choice” interactions that require physicians to provide technical expertise only, leaving patients to make all treatment decisions on their own. An implicit goal of (...)
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  30.  4
    Barriers to Establishing Shared DecisionMaking in Childbirth: Unveiling Epistemic Stereotypes About Women in Labour.Stella Villarmea & Brenda Kelly - 2020 - Journal of Evaluation in Clinical Practice 26 (2):515-519.
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  31.  13
    Is Shared Decision Making an Appropriate Analytic Frame for Research on Medical Practices?Jeremy Sugarman - 2015 - American Journal of Bioethics 15 (9):18-20.
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  32.  8
    Person‐Centred Shared Decision Making.Mark R. Tonelli & Mark D. Sullivan - 2019 - Journal of Evaluation in Clinical Practice 25 (6):1057-1062.
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  33. Shared Decision Making: The Ethics of Caring and Best Respect.J. E. Beltran - 1996 - Bioethics Forum 12 (3):17-25.
     
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  34.  1
    Shared Decision-Making and the Lower Literate Patient.David I. Shalowitz & Michael S. Wolf - 2004 - Journal of Law, Medicine and Ethics 32 (4):759-764.
    In recent years, shared decision-making has become entrenched in the medical literature and the law as the ideal method for involving patients in decisions related to their health care. Shared decision-making represents a compromise between the opposed extremes of paternalistic interactions that limit patients’ control of their health care, and “informed choice” interactions that require physicians to provide technical expertise only, leaving patients to make all treatment decisions on their own. An implicit goal of (...)
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  35.  15
    Shared DecisionMaking in Pediatrics: Honoring Multiple Voices.Daniel J. Benedetti - 2017 - Hastings Center Report 47 (4):46-47.
    Historically, parents looking for guidance turned to a small cadre of trusted individuals such as grandparents and pediatricians. In the Internet era, this paradigm has shifted. With a few keystrokes, anxious parents have access to a seemingly endless array of opinions from faceless sources with unknown agendas. For some parents, this can cause more uncertainty, and for the parents of a child with a medical condition, navigating this information can be overwhelming. In this modern paradigm, the pediatrician's duty has also (...)
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  36.  40
    Deciding Together? Best Interests and Shared Decision-Making in Paediatric Intensive Care.Giles Birchley - 2014 - Health Care Analysis 22 (3):203-222.
    In the western healthcare, shared decision making has become the orthodox approach to making healthcare choices as a way of promoting patient autonomy. Despite the fact that the autonomy paradigm is poorly suited to paediatric decision making, such an approach is enshrined in English common law. When reaching moral decisions, for instance when it is unclear whether treatment or non-treatment will serve a child’s best interests, shared decision making is particularly questionable (...)
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  37. Transitional Shared DecisionMaking Processes for Patients with Complex Needs: A Feasibility Study.Séverine Schusselé Filliettaz, Stéphane Moiroux, Gregory Marchand, Ingrid Gilles & Isabelle Peytremann-Bridevaux - forthcoming - Journal of Evaluation in Clinical Practice.
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  38.  9
    What is “Shared” in Shared DecisionMaking? Philosophical Perspectives, Epistemic Justice, and Implications for Health Professions Education.Aliki Thomas, Ayelet Kuper, Benjamin Chin-Yee & Melissa Park - 2020 - Journal of Evaluation in Clinical Practice 26 (2):409-418.
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  39.  15
    Prudent Evidence‐Fettered Shared Decision Making.Elizabeth Libby Bogdan-Lovis & Margaret Holmes-Rovner - 2010 - Journal of Evaluation in Clinical Practice 16 (2):376-381.
  40.  6
    Shared Decision Making Still a Goal and Not a Practice: How One Physician Learned About the Other Side, The Patient's Perspective.David Dinhofer - 2016 - Ethics in Biology, Engineering and Medicine: An International Journal 7 (1-2):11-19.
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  41.  31
    The Ideal of Shared Decision Making Between Physicians and Patients.Dan W. Brock - 1991 - Kennedy Institute of Ethics Journal 1 (1):28-47.
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  42.  15
    Shared Decision Making in Dialysis: A New Clinical Practice Guideline to Assist with Dialysis-Related Ethics Consultations.A. H. Moss - 2001 - Journal of Clinical Ethics 12 (4):406.
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  43.  4
    Strategies for Implementing Shared Decision Making in Elective Surgery by Health Care Practitioners: A Systematic Review.Clarabelle Pham, Lucylynn Lizarondo, Jonathan Karnon, Edoardo Aromataris, Zachary Munn, Catherine Gibb, Robert Fitridge & Guy Maddern - 2020 - Journal of Evaluation in Clinical Practice 26 (2):582-601.
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  44.  3
    Shared Decision-Making in Palliative Care: A Maternalistic Approach.Laura Sullivan, Mary Adler, Joshua Arenth, Shelly Ozark & Leigh Vaughan - forthcoming - Narrative Inquiry in Bioethics.
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  45.  17
    Legal Briefing: Shared Decision Making and Patient Decision Aids.T. M. Pope & M. Hexum - 2013 - Journal of Clinical Ethics 24 (1):70-80.
    This “Legal Briefing” column covers recent legal developments involving patient decision aids. This topic has been the subject of recent articles in JCE. It is included in the 2010 Patient Protection and Affordable Care Act. And it has received significant attention in the biomedical literature, including a new book, a thematic issue of Health Affairs, and a recent article in the New England Journal of Medicine. Moreover, physicians and health systems across the United States are increasingly integrating decision (...)
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  46.  19
    Re-Engineering Shared Decision-Making.Muriel R. Gillick - 2015 - Journal of Medical Ethics 41 (9):785-788.
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  47.  15
    How Shared is Shared Decision-Making? A Care-Ethical View on the Role of Partner and Family.Inge van Nistelrooij, Merel Visse, Ankana Spekkink & Jasmijn de Lange - 2017 - Journal of Medical Ethics 43 (9):637-644.
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  48.  12
    Implementing a Shared DecisionMaking and Cognitive Strategy‐Based Intervention: Knowledge User Perspectives and Recommendations.Kay-Ann M. Allen, Katherine R. Dittmann, Jennifer A. Hutter, Catherine Chuang, Michelle L. Donald, Amie L. Enns, Nina Hovanec, Anne W. Hunt, Richard S. Kellowan, Elizabeth A. Linkewich, Alexandra S. Patel, Anisha Rehmtulla & Sara E. McEwen - 2020 - Journal of Evaluation in Clinical Practice 26 (2):575-581.
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  49.  23
    Can the Ethical Best Practice of Shared Decision-Making Lead to Moral Distress?Trisha M. Prentice & Lynn Gillam - 2018 - Journal of Bioethical Inquiry 15 (2):259-268.
    When healthcare professionals feel constrained from acting in a patient’s best interests, moral distress ensues. The resulting negative sequelae of burnout, poor retention rates, and ultimately poor patient care are well recognized across healthcare providers. Yet an appreciation of how particular disciplines, including physicians, come to be “constrained” in their actions is still lacking. This paper will examine how the application of shared decision-making may contribute to the experience of moral distress for physicians and why such distress (...)
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  50.  24
    The Concept of Negotiation in Shared Decision Making.Lars Sandman - 2009 - Health Care Analysis 17 (3):236-243.
    In central definitions of shared decision-making within medical consultations we find the concept of negotiation used to describe the interaction between patient and professional in case of conflict. It has been noted that the concept of negotiation is far from clear in this context and in other contexts it is used both in terms of rational deliberation and bargaining. The articles explores whether rational deliberation or bargaining accurately describes the negotiation in shared decision-making and (...)
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