Shared Decision Making in the Patient-Physician Relationship

Author: Dennis J. Mazur, MD, PhD

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Shared Decision Making in the Patient-Physician Relationship

The author develops what he called the "new informed consent" in which information sharing between patients and physicians is optimized. He discusses the history of informed consent and how it needs to be adapted to the changing health care environment that has been created by technology and cost containment measures.

334 Pages © 2001

Table of Contents

Part One
From Informed Consent to Shared Decision Making: The Evolving Role of Information in the Patient-Physician Relationship

Chapter 1
The Patient-Physician Relationship: Information + Decision Making

Chapter 2
From Consent to Informed Consent: Judicial Views and Their Critics

Chapter 3
Ethicists' Views on Autonomy, Information, Shared Understanding, and Absence of Coercion in Informed Consent

Chapter 4
From Informed Consent to Shared Decision Making: A Critique of Judicial Views of Informed Consent

Part Two
Information and Decision Making: Information Scientific, Decision Scientific, and Cognitive Scientific Perspectives and Decision Support

Chapter 5
Information and Decision Making: Information Scientific Perspectives

Chapter 6
Information and Decision Making: Decision Scientific Perspectives

Chapter 7
Information and Decision Making: Cognitive Scientific Perspectives

Chapter 8
Information and Decision Making: Scientific Evidence, the Information Sciences, and Decision Support

Part Three
Information and Decision Making: Research on the Patient-Physician Relationship in the Ambulatory Care Sector

Chapter 9
What Goes on in Patient/Physician Discussions? What Does the Research Show?

Chapter 10
Where Do We Go from Here? Participatory Decision-Making Style and Informed Decision Making

Chapter 11
Shared Decision Making and the Realities of Time-Limited Conversations in the Patient-Physician Relationship

Chapter 12
Introduction to Research on Shared Decision Making: Understanding Its Range of Content and Complexity

Chapter 13
Research on Shared Decision Making: Starting with Very Basic Research Ideas

Chapter 14
Research on Numeracy and Shared Decision Making and Decision Support for Patients

Chapter 15
Views of Shared Decision Making

Part Four
Decision-Support Systems for Patients as Decision Makers and Decision Trackers: Allowing Patients Access Not Only to Information but Also to Decision Strategies

Chapter 16
What Do Patients Report They Want to Know? Assumptions versus Research on What Patients Report They Want to Know

Chapter 17
Shared Decision Making in the Absence of High-Quality Scientific Evidence: The "Close-Call" or "Toss-Up" Decision

Chapter 18
Understanding Medical Information and a Proposed Category Framework of Information for Decision Support of Patients' Decisions

Chapter 19
What Is "Shared" in Shared Decision Making in Clinical Medicine? The Polyadic Patient-Physician Relationship

Chapter 20
What Levels of Understanding Do Patients Want in Shared Decision Making?

Chapter 21
Challenges Regarding Information and Its Structure in Decision Support for Patients as Decision Makers/Trackers

Chapter 22
Decision-Support Systems for Patients

Chapter 23
Alternative Methods for Decision Making: Systematic versus Intuitive

Part Five
Decision-Support Systems for Patients in Clinical Care and Clinical Research in Medical Institutions

Chapter 24
Patient Information Circumstances in Clinical Research

Chapter 25
The Institutional Management of Information

Chapter 26
The Final Challenge: Evaluating Success of Decision-Support Systems in Assisting Patients in Construction of Their Preferences

Chapter 27
Conclusion: The Push and Pull of Information in the Patient-Physician Relationship