Why shared decision making is not good enough: lessons from patients

A closer look at the lived illness experiences of medical professionals themselves shows that shared decision making is in need of a logic of care. This paper underlines that medical decision making inevitably takes place in a messy and uncertain context in which sharing responsibilities may impose a considerable burden on patients. A better understanding of patients’ lived experiences enables healthcare professionals to attune to what individual patients deem important in their lives. This will contribute to making medical decisions in a good and caring manner, taking into account the lived experience of being ill.

[1]  Kirsti Malterud,et al.  For Personal Use. Only Reproduce with Permission from the Lancet Publishing Group. the Nature of Clinical Knowledge the Art and Science of Clinical Knowledge: Evidence beyond Measures and Numbers Qualitative Research Series , 2022 .

[2]  R. Klitzman Improving Education on Doctor–Patient Relationships and Communication: Lessons from Doctors Who Become Patients , 2006, Academic medicine : journal of the Association of American Medical Colleges.

[3]  J. V. Heijst Professional loving care: An ethical view of the health care sector , 2011 .

[4]  W. Dekkers,et al.  Medical education, palliative care and moral attitude: some objectives and future perspectives , 2003, Medical education.

[5]  C. Leget,et al.  Compassion as a basis for ethics in medical education , 2007, Journal of Medical Ethics.

[6]  K. Rodham,et al.  Experiencing “The Other Side”: A Study of Empathy and Empowerment in General Practitioners Who Have Been Patients , 2009, Qualitative health research.

[7]  M. Kelly The logic of care: health and the problem of patient choice ‐ by Mol, A. , 2009 .

[8]  Chris Gastmans,et al.  Experiential learning of empathy in a care-ethics lab , 2010, Nursing ethics.

[9]  R. Dresser Bioethics and Cancer: When the Professional Becomes Personal , 2011, The Hastings Center report.

[10]  K. Rodham,et al.  “It’s crucial they’re treated as patients”: ethical guidance and empirical evidence regarding treating doctor–patients , 2009, Journal of Medical Ethics.

[11]  G. Elwyn,et al.  Shared decision making: really putting patients at the centre of healthcare , 2012, BMJ : British Medical Journal.

[12]  M. Grypdonck,et al.  Researching lived experience in health care: Significance for care ethics , 2011, Nursing ethics.