Towards Patient-Centeredness? Media Frames on Shared Decision-Making for Healthcare Treatment

The literature on healthcare management and innovation has long noted that shared decision-making (SDM), a practice of organizing joint decisions between professionals patients, should improve outcomes by increasing patient engagement autonomy, thus fostering patient-centeredness equality. While SDM projects are increasingly implemented across Europe worldwide, the diffusion remains partial. explores trough underlying assumption its constraints result from an information problem, implying objective criteria rational behavior. purpose this research is to conduct study social construction rationales using case one largest markets worldwide – Germany. To capture complexity SDM, frame analysis conducted medial representations. Media both influential in shaping public opinion as well generating discourses This enables elaborate different facets construct, inherent patterns explore consequences for acceptance Three facilitating three obstructive frames were assessed. polarities these findings range questioning one's own authority perception individual competence agency. Moreover, reflects how physicians’ patients’ role conceived. Regarding physicians alternate ‘demigod white’ loss authority. patients ‘layman’ competent patient, eager participate decision-making.