A variety of models for making decisions are available. Three of these models are paternalistic, informative, and shared decision making.Discuss the pros and cons of each of these models and the problems that are best suited for the various methods.
Determine which method has the strongest possibility of resulting in permanent change.
The conventional method of medical decision-making, in which doctors are solely responsible for selecting treatments, is under scrutiny. In an effort to encourage patients to voice their views and preferences and take part in decisions regarding their care, shared decision-making is being promoted. The majority of patients do not want to participate in decision-making, say opponents of shared decision-making; disclosing the inherent uncertainties in medical care could be harmful; it is impractical to provide information about the potential risks and benefits of all available treatment options; and increasing patient involvement in decision-making will increase demand for unnecessary, expensive, or harmful procedures, which could undercut the equitable distribution of healthcare resources (Ankolekar et al., 2019). The evidence supporting and refuting these claims is examined in this article. Although there is little research on the circumstances in which shared decision-making should be encouraged and its impacts, there is ample evidence that patients want more information and involvement (Driever et al., 2020). In order to empower patients to take an active role in treatment decisions, there is an urgent need for additional study into patients’ information preferences and needs, as well as for the creation and assessment of decision-support tools. Cont…
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