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Key concepts relevant to quality of complex and shared decision-making in health care: A literature review

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  • Dy, Sydney M.
  • Purnell, Tanjala S.

Abstract

High-quality provider–patient decision-making is key to quality care for complex conditions. We performed an analysis of key elements relevant to quality and complex, shared medical decision-making. Based on a search of electronic databases, including Medline and the Cochrane Library, as well as relevant articles’ reference lists, reviews of tools, and annotated bibliographies, we developed a list of key concepts and applied them to a decision-making example. Key concepts identified included provider competence, trustworthiness, and cultural competence; communication with patients and families; information quality; patient/surrogate competence; and roles and involvement. We applied this concept list to a case example, shared decision-making for live donor kidney transplantation, and identified the likely most important concepts as provider and cultural competence, information quality, and communication with patients and families. This concept list may be useful for conceptualizing the quality of complex shared decision-making and in guiding research in this area.

Suggested Citation

  • Dy, Sydney M. & Purnell, Tanjala S., 2012. "Key concepts relevant to quality of complex and shared decision-making in health care: A literature review," Social Science & Medicine, Elsevier, vol. 74(4), pages 582-587.
    • Handle: RePEc:eee:socmed:v:74:y:2012:i:4:p:582-587
    DOI: 10.1016/j.socscimed.2011.11.015
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    References listed on IDEAS

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    1. Epstein, Ronald M. & Franks, Peter & Fiscella, Kevin & Shields, Cleveland G. & Meldrum, Sean C. & Kravitz, Richard L. & Duberstein, Paul R., 2005. "Measuring patient-centered communication in Patient-Physician consultations: Theoretical and practical issues," Social Science & Medicine, Elsevier, vol. 61(7), pages 1516-1528, October.
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    Cited by:

    1. Hyojung Tak & Gregory Ruhnke & Ya-Chen Shih, 2015. "The Association between Patient-Centered Attributes of Care and Patient Satisfaction," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 8(2), pages 187-197, April.
    2. Kae-Hwa Jo & Gyeong-Ju An & Hong Seon Lee, 2015. "Health Care Professional Factors Influencing Shared Medical Decision Making in Korea," SAGE Open, , vol. 5(4), pages 21582440156, November.

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