ArticleCommunication & medicine2017
Concepts of health, ethics, and communication in shared decision making.
Article in Communication & medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Shared decision-making interventions for people with mental health conditions.The Cochrane database of systematic reviews · 2022Pooled it
- Practical wisdom in medicine: defending a multidimensional, integrated view of an indispensable virtue.Theoretical medicine and bioethics · 2026Article
- The WEIRD Trio: The Cultural Gap between Physicians, Learners, and Patients in Pluralistic Societies.The Journal of medicine and philosophy · 2025Article
- What do parents think about the quality and safety of care provided by hospitals to children and young people with an intellectual disability? A qualitative study using thematic analysis.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Knowledge, attitude, and practice of body shape and fitness among university students in China.BMC public health · 2023Article
- Asking the right questions: towards a person-centered conception of shared decision-making regarding treatment of advanced chronic kidney disease in older patients.BMC medical ethics · 2022Article
- Concepts of health in different contexts: a scoping review.BMC health services research · 2022Article
- Phronesis in Medical Ethics: Courage and Motivation to Keep on the Track of Rightness in Decision-Making.Health care analysis : HCA : journal of health philosophy and policy · 2020Article
- Ethical treatment of people with chronic pain: an application of Kaldjian's framework for shared decision-making.British journal of anaesthesia · 2019Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Shared decision making depends on respectful dialogue that allows patients and clinicians to discuss medical facts and the beliefs and values that give them meaning for a particular patient. This dialogue is most likely to succeed when tests and treatments are placed within a purpose-oriented landscape that sets goals of care in the foreground so that the direction of decision making is clear before too much focus is placed on interventional options. The beliefs and values that guide patients allow them to identify and prioritize their most important goals of care in light of other dimensions of decision making. These beliefs and values will also reveal concepts of health that anchor goals of care. When patients and clinicians disagree about treatments or goals, it may be because a clinician is guided by a biostatistical concept of health, while a patient is guided by one that prioritizes well-being. Such disagreements may also be described in terms of patient preference (autonomy) and the clinician's assessment of the patient's best interests (beneficence). By probing the beliefs and values that explain goals of care and concepts of health, dialogue can help reconcile disagreements in shared decision making. And even when resolution is not forthcoming, and a decision must be 'un-shared', dialogue can demonstrate respect for patients through the consideration clinicians show when they take time to understand and explain.
Indexed as
Identifiers
29957899What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.