The Patient's Role in Clinical Decision-Making
Annals of Internal MedicinePublished 1 November 1980
David S. Brody
Citations400
SJR quartileQ1
SJR score3.38
SNIP3.27
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TL;DR
The concept of mutual participation is discussed, an approach to encouraging patient participation in clinical decision-making is presented, and its theoretical advantages are considered.
Abstract
Practicing physicians must frequently make decisions about how much they wish to encourage patient participation in clinical decision-making and how to respond to rational patient demands that do not coincide with their own decisions. These are difficult ethical dilemmas with no indisputable or universal solutions. The traditional concept of the doctor-patient relationship places the patient in a passive, compliant role. The patient's only obligation is to seek competent help and cooperate with the physician. A number of factors have contributed to the continued dominance of the traditional doctor-patient imbalance of power. Despite these factors, there seems to be a great deal of public dissatisfaction with health care delivery in the United States; demands for more patient autonomy are increasing. This paper discusses the concept of mutual participation, presents an approach to encouraging patient participation in clinical decision-making, and considers its theoretical advantages.
Keywords
Health Professions
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