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Shared Decision Making in the Medical Encounter: Are We All Talking about the Same Thing?

Author

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  • Nora Moumjid

    (GRESAC (GATE, UMR 5824)-CNRS; University Lumière Lyon 2; University Claude Bernard Lyon 1; Ecole Normale Supèrieure LSH; Centre Léon Bérard, ferdjaou@lyon.fnclcc.fr)

  • Amiram Gafni

    (CHEPA (Center for Health Economics and Policy Analysis), Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada)

  • Alain Brémond

    (GRESAC (GATE, UMR 5824)-CNRS; University Lumière Lyon 2; University Claude Bernard Lyon 1; Ecole Normale Supèrieure LSH; Centre Léon Bérard)

  • Marie-Odile Carrère

    (GRESAC (GATE, UMR 5824)-CNRS; University Lumière Lyon 2; University Claude Bernard Lyon 1; Ecole Normale Supèrieure LSH; Centre Léon Bérard)

Abstract

Objective. This article aims to explore 1) whether after all the research done on shared decision making (SDM) in the medical encounter, a clear definition (or definitions) of SDM exists; 2) whether authors provide a definition of SDM when they use the term; 3) and whether authors are consistent, throughout a given paper, with respect to the research described and the definition they propose or cite. Methods. The authors searched different databases (Medline, HealthStar, Cinahl, Cancerlit, Sociological Abstracts, and Econlit) from 1997 to December 2004. The keywords used were informed decision making and shared decision making as these are the keywords more often encountered in the literature. The languages selected were English and French. Results. The 76 reported papers show that 1) several authors clearly define what they mean by SDM or by another closely related phrase, such as informed shared decision making. 2) About a third of the papers reviewed (25/76) cite these authors although 8 of them do not use the term in a manner consistent with the definition cited. 3) Certain authors use the term SDM inconsistently with the definition they propose, and some use the terms informed decision making and SDM as if they were synonymous. 4) Twenty-one papers do not provide or cite any definition, or their use of the term (i.e., SDM) is not consistent with the definition they provide. Conclusion. Although several clear definitions of shared decision making have been proposed, they are cited by only about a third of the papers reviewed. In the other papers, authors refer to the term without specifying or citing a definition or use the term inconsistently with their definition. This is a problem because having a clear definition of the concept and following this definition are essential to guide and focus research. Authors should use the term consistently with the identified definition.

Suggested Citation

  • Nora Moumjid & Amiram Gafni & Alain Brémond & Marie-Odile Carrère, 2007. "Shared Decision Making in the Medical Encounter: Are We All Talking about the Same Thing?," Medical Decision Making, , vol. 27(5), pages 539-546, September.
  • Handle: RePEc:sae:medema:v:27:y:2007:i:5:p:539-546
    DOI: 10.1177/0272989X07306779
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    References listed on IDEAS

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    1. Sculpher, Mark & Gafni, Amiram & Watt, Ian, 2002. "Shared treatment decision making in a collectively funded health care system: possible conflicts and some potential solutions," Social Science & Medicine, Elsevier, vol. 54(9), pages 1369-1377, May.
    2. Charles, Cathy & Gafni, Amiram & Whelan, Tim, 1997. "Shared decision-making in the medical encounter: What does it mean? (or it takes at least two to tango)," Social Science & Medicine, Elsevier, vol. 44(5), pages 681-692, March.
    3. Stevenson, Fiona A. & Barry, Christine A. & Britten, Nicky & Barber, Nick & Bradley, Colin P., 2000. "Doctor-patient communication about drugs: the evidence for shared decision making," Social Science & Medicine, Elsevier, vol. 50(6), pages 829-840, March.
    4. Charles, Cathy & Gafni, Amiram & Whelan, Tim, 1999. "Decision-making in the physician-patient encounter: revisiting the shared treatment decision-making model," Social Science & Medicine, Elsevier, vol. 49(5), pages 651-661, September.
    5. Gafni, Amiram & Charles, Cathy & Whelan, Tim, 1998. "The physician-patient encounter: The physician as a perfect agent for the patient versus the informed treatment decision-making model," Social Science & Medicine, Elsevier, vol. 47(3), pages 347-354, August.
    6. Singpurwalla, Norah & Forman, Ernest & Zalkind, David, 1999. "Promoting shared health care decision making using the analytic hierarchy process," Socio-Economic Planning Sciences, Elsevier, vol. 33(4), pages 277-299, December.
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    Cited by:

    1. Glory Apantaku & Magda Aguiar & K. Julia Kaal & Patrick J. McDonald & Mary B. Connolly & Viorica Hrincu & Judy Illes & Mark Harrison, 2022. "Understanding Attributes that Influence Physician and Caregiver Decisions About Neurotechnology for Pediatric Drug-Resistant Epilepsy: A Formative Qualitative Study to Support the Development of a Dis," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 15(2), pages 219-232, March.
    2. Rachael Gooberman-Hill, 2012. "Qualitative Approaches to Understanding Patient Preferences," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 5(4), pages 215-223, December.
    3. Vogel, Amyn & Balzer, Felix & Fürstenau, Daniel, 2021. "The social construction of the patient-physician relationship in the clinical encounter: Media frames on shared decision making in Germany," Social Science & Medicine, Elsevier, vol. 289(C).

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