Health L6 Flashcards
paternalism
doctor is expert, protect from disturbing info, take away burden of decision making, projects confidence
Informed/Patient-directed
clinician tells all relevant info, does not make recommendation
Shared Decision Making Model
collaborative process, best in preference-sensitive scenarios (uncertainty)
SDM benefits
increased satisfaction of decision making process, relationship, care, greater treatment adherence
SDM costs
conforming social expectations of doctor/patient roles, emotional vulnerability, lack medical vocabulary, clinician not trained
Charles et al.
info exchange, deliberation, decision
Elwyn et al.
choice talk, option talk, decision talk
deliberation is an ongoing process
TRIO Framework
patient as priority but right for family to be involved, flexible, captures complexity and variability of family involvement