Shared Medical Decision Making Reconsidered

Autor(en)

Bettina Baldt, Thomas Slunecko

Abstrakt

This article critically examines the four patterns of shared medical decision making (physician-dominated; physician-defined, patient-made; patient-defined, physician-made; and patient-dominated) suggested by Lippa et al. (2017). The aim of the study is to challenge these patterns with a new data set of conversations between physicians and cancer patients in a hospital ward. We recorded 13 physician-patient-conversations during the medical round in an Austrian hospital, which in total lasted about 1.5 h (language: German). We then categorized the medical decisions found in the data following Lippa et al.'s instructions and further analyzed them with a fine-grained linguistic approach. The study revealed no patient-dominated decisions and one decision, which could not be categorized with one of the patterns. Results from the linguistic approach call into question the generalizability, distinctiveness and validity of the patterns. Finally, the relationship between shared decision making and clinical distributed cognition is discussed.

Organisation(en)

Institut für Systematische Theologie und Ethik, Institut für Psychologie der Kognition, Emotion und Methoden

Journal

Health Communication

Band

38

Seiten

2281-2291

Anzahl der Seiten

11

ISSN

1041-0236

DOI

https://doi.org/10.1080/10410236.2022.2065736

Publikationsdatum

05-2022

Peer-reviewed

Ja

ÖFOS 2012

303019 Medizinische Ethik, 602026 Kognitive Linguistik

Schlagwörter

ASJC Scopus Sachgebiete

Health(social science), Communication

Link zum Portal

https://ucrisportal.univie.ac.at/de/publications/shared-medical-decision-making-reconsidered(d097ddd1-9111-4776-b610-a604a3155d15).html