| 1. |
- Annoni, Marco, et al.
(författare)
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Persons over models : shared decision-making for person-centered medicine
- 2020
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Ingår i: European Journal for Person Centered Healthcare. - : University of Buckingham Press. - 2052-5648 .- 2052-5656. ; 8:3, s. 355-362
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Tidskriftsartikel (refereegranskat)abstract
- In the last decades “shared decision-making” has been hailed as the new paradigm for the doctor-patient relationship. However, different models of clinical decision-making appear to be compatible with the core tenets of “shared decision-making”. Reconsidering Emanuel and Emanuel (1992) classic analysis, in this paper we distinguish five possible models of clinical decision-making: (i) the ‘instrumental’; (ii) the ‘paternalistic’; (iii) the ‘informative’; (iv) the ‘interpretative’; and (v) the ‘persuasive’ models. For each model we present its fundamental assumptions as well as the role that patients and doctors are expected to play with respect to value-laden dilemmas. We argue that, with the exception of the instrumental model, each of the other four models may be appropriate depending on the circumstances. We conclude by highlighting the importance of structuring clinical care around actual persons - and their unique lives and philosophies - rather than around abstract frameworks.
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| 2. |
- Gaab, Jens, et al.
(författare)
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The good treatment : a biopsychosocioethical proposition
- 2020
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Ingår i: European Journal for Person Centered Healthcare. - : University of Buckingham Press. - 2052-5648 .- 2052-5656. ; 8:2, s. 201-206
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Tidskriftsartikel (refereegranskat)abstract
- While there is undisputedly a great need to establish, maintain, evaluate, provide and disseminate good treatments, the consensus as to what constitutes a good treatment is far less established. Here, we deconstruct the phrase into its components, seeking to describe definitory elements of both what is to be considered a treatment and how this could be good. Thereby, we identify deliberateness in the context of an adequately empathic and humane relationship as being at the core of a good treatment. Thus, care becomes treatment when provided deliberately and treatment becomes good, when provided deliberately with care. Since this understanding encompasses biological, psychological and social treatment constituents in the context of ethical considerations, we propose a ‘biopsychosocioethical’ model for treatment as a conceptual frame, which is centred on a shared understanding of what should be achieved by the treatment and how this is achieved.
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