Patients at the center: In our practice, and in our use of language

Guyatt, Gordon; Montori, Victor; Devereaux, P.J.; Sch√ľnemann, Holger; Bhandari, Mohit
January 2004
ACP Journal Club;Jan/Feb2004, Vol. 140 Issue 1, pA-11
Academic Journal
This article focuses on an approach to medical decision-making, in which physicians made a diagnosis, considered the management alternatives and informed patients what would be done to help them. This parental model of patient care challenged clinicians to interpret what was best for their patients. The parental model has its strengths, and in the past it is very likely that many patients preferred leaving the decisions to their doctors, particularly when the knowledge gap between physicians and the lay public was greater. In a recent study conducted as of January 2004, regarding patients with node-negative breast cancer who were considering adjuvant chemotherapy, 84% of 171 women preferred an independent or shared role in decision-making. Shared decision-making and patient-centeredness have become attractive approaches to resolving the profusion of challenging choices facing patients and clinicians.


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