Importance of Shared Decision-Making for Vulnerable Populations: Examples from Postmastectomy Breast Reconstruction

被引：33

作者：

Grabinski, Victoria F. ^{[1
]}

Myckatyn, Terence M. ^{[2
]}

Lee, Clara N. ^{[3
,4
]}

Philpott-Streiff, Sydney E. ^{[1
]}

Politi, Mary C. ^{[1
]}

机构：

[1] Washington Univ, Dept Surg, Div Publ Hlth Sci, Sch Med, 660 S Euclid Ave, St Louis, MO 63110 USA

[2] Washington Univ, Dept Surg, Div Plast & Reconstruct Surg, Sch Med, St Louis, MO 63110 USA

[3] Ohio State Univ, Coll Med, Dept Plast & Reconstruct Surg, Columbus, OH 43210 USA

[4] Ohio State Univ, Coll Publ Hlth, Div Hlth Serv Management & Policy, Columbus, OH 43210 USA

来源：

HEALTH EQUITY | 2018年 / 2卷 / 01期

关键词：

patient-provider communication; shared decision-making; vulnerable populations;

D O I：

10.1089/heq.2018.0020

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Shared decision-making (SDM) is a process through which patients and providers collaborate to select a treatment option that aligns with patients' preferences and clinical context. SDM can improve patients' decision quality and satisfaction. However, vulnerable populations face barriers to participation in SDM, which exacerbates disparities in decision quality. This perspective article discusses SDM with vulnerable patients, using examples from patients who made decisions about postmastectomy breast reconstruction. We offer several strategies for clinical practice, medical education, and research to ensure that movements to engage patients in SDM do not exclude already marginalized groups.

引用

页码：234 / 238

页数：5

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