Communication: From Paternalism to Shared Decision Making
نویسنده
چکیده
At the same time, significant progress in cancer treatment was under way, and an early diagnosis began to provide more hope for the cancer patient. Public educational efforts began to focus on providing information to lay people about cancer. Experts in the field prepared pamphlets describing various cancers and their warning signs in order to help patients turn to physicians at appropriate times and ultimately achieve earlier cancer diagnoses.[2]
منابع مشابه
Doctor-patient relationship: from medical paternalism to enhanced autonomy.
For centuries, physicians have been allowed to interfere and overrule patient's preferences with the aim of securing patient benefit or preventing harm. With the radical rise in emphasis on individual control and freedom, medical paternalism no longer receives unquestioned acceptance by society as the dominant mode for decision-making in health care. But neither is a decision-making approach ba...
متن کاملControversies in oncologist-patient communication: a nuanced approach to autonomy, culture, and paternalism.
Difficult dialogues with patients facing life-changing decisions are an intrinsic part of oncologic practice and a major source of stress. Having a sophisticated approach to the concepts of autonomy, paternalism, and culture can help in addressing difficult dilemmas that arise around the issues of disclosure and decision making. This article addresses some of the most common major challenges in...
متن کامل“Nudge” in the clinical consultation – an acceptable form of medical paternalism?
BACKGROUND Libertarian paternalism is a concept derived from cognitive psychology and behavioural science. It is behind policies that frame information in such a way as to encourage individuals to make choices which are in their best interests, while maintaining their freedom of choice. Clinicians may view their clinical consultations as far removed from the realms of cognitive psychology but o...
متن کاملWhen open-ended questions don't work: the role of palliative paternalism in difficult medical decisions.
Abstract The balance between patient autonomy and medical paternalism must be reexamined. The tension between autonomy and paternalism is both an ethical and practical issue. Autonomy is the current gold standard approach to patient communication and has grown to the point that patient preference dictates care, even when their choices are not possible or are medically nonbeneficial. Furthermore...
متن کامل