Informed and shared decision-making: the crux of patient-centered care.

Thirty-five years ago, when I was a medical student, we were taught to be paternalistic. We were trained to withhold information from patients, especially painful information about a potentially terminal illness; we were also instructed to take charge of interviews and to avoid getting “

[1]  W. Levinson,et al.  Informed decision making in outpatient practice: time to get back to basics. , 1999, JAMA.

[2]  M. Stewart,et al.  Evidence on patient-doctor communication. , 1999, Cancer prevention & control : CPC = Prevention & controle en cancerologie : PCC.

[3]  M. Stewart.  Effective physician-patient communication and health outcomes: a review. , 1995, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[4]  M. Stewart,et al.  The impact of patient-centered care on outcomes. , 2000, The Journal of family practice.

[5]  R. McKendry,et al.  Challenges in family practice related to informed and shared decision-making: a survey of preceptors of medical students. , 2001, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[6]  David Tuckett,et al.  Meetings Between Experts: An Approach to Sharing Ideas in Medical Consultations , 1986 .

[7]  J. Kleijnen,et al.  Influence of context effects on health outcomes: a systematic review , 2001, The Lancet.