Adherence, shared decision-making and patient autonomy

@article{Sandman2012AdherenceSD,
  title={Adherence, shared decision-making and patient autonomy},
  author={L. Sandman and B. Granger and I. Ekman and C. Munthe},
  journal={Medicine, Health Care and Philosophy},
  year={2012},
  volume={15},
  pages={115-127}
}
In recent years the formerly quite strong interest in patient compliance has been questioned for being too paternalistic and oriented towards overly narrow biomedical goals as the basis for treatment recommendations. In line with this there has been a shift towards using the notion of adherence to signal an increased weight for patients’ preferences and autonomy in decision making around treatments. This ‘adherence-paradigm’ thus encompasses shared decision-making as an ideal and patient… Expand
Medication non‐adherence in the context of situated uncertainty: Moving beyond simple, dichotomous approaches
TLDR
Long-term adherence to statins can be improved by overcoming misperceptions, by balanced reports in the media, and through close communication and shared decision-making between patients and doctors, according to Yusuf. Expand
The Counseling, Self-Care, Adherence Approach to Person-Centered Care and Shared Decision Making: Moral Psychology, Executive Autonomy, and Ethics in Multi-Dimensional Care Decisions
TLDR
A complementary PCC/SDM approach is suggested to ensure that patients are able to execute rational decisions taken jointly with care professionals when performing self-care, where more attention is given to how treatment goals are internalized by patients, how patients perceive choice situations, and what emotional feedback patients are given. Expand
Individual responsibility as ground for priority setting in shared decision-making
TLDR
To analyse whether the implementation of shared decision-making would strengthen the argument for invoking individual responsibility in the healthcare priority setting using normative analysis, and if communication strategies applied in the sharing are misaligned to the patient's initial capacities, arguments against individual responsibility might gain strength. Expand
Shared Decision-Making in Growth Hormone Therapy—Implications for Patient Care
TLDR
The opportunities for the implementation of SDM and the barriers that challenge its effective use within the clinic are discussed and some of the potential solutions to overcome these challenges are reviewed that may prove key to effective patient participation in treatment decisions. Expand
Rethinking the problems of adherence to medications
Poor adherence to medication is a persistent problem in the practice of medicine, which gives rise to problems for individual patients, for the healthcare system as a whole, and in some cases, forExpand
Is shared decision-making to blame for the provision of ethically inappropriate treatment? Results of a multi-site study exploring physician understanding of the "shared" model of decision making.
  • Joshua T Landry
  • Medicine, Psychology
  • Journal of evaluation in clinical practice
  • 2020
TLDR
Results suggest support for the hypothesis that SDM is not well understood by physicians, and that it should be more closely examined if it is to be pursued as a method of decision making. Expand
Patient's perception of autonomy support and shared decision making in physical therapy
TLDR
Using patients’ perceptions, this study found that a relationship between SDM and autonomy support existed and demonstrated that the participating physical therapists individually tailored patient support by adapting their implementation of SDM to each patient. Expand
Patients' participation in decision-making in the medical field--'projectification' of patients in a neoliberal framed healthcare system.
TLDR
Participation of patients in decision-making can be regarded as a tacit governmentality strategy that shapes the location of responsibility between individual and society, and independent patients and healthcare professionals, despite the basically desirable, appropriate, and necessary idea of involving patients in their own situations from a humanistic perspective. Expand
Islamic Considerations on the Application of Patient’s Autonomy in End-of-Life Decision
TLDR
In end-of-life situation, the need for patient’s preference comes into the picture with the intention of guiding physicians in the direction of patient care, based on the reality of universal paradigm in medical practice that emphasises patient's autonomy. Expand
Health-care needs and shared decision-making in priority-setting
TLDR
This paper explores the relation between health-care needs and patients’ desires within shared decision-making (SDM) in a context of priority setting in health care and discusses a number of queries which seem to arise due to the double focus on a patient's need and what that patient desires. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 38 REFERENCES
Shared decision-making and patient autonomy
TLDR
Different forms of shared decision-making are analysed in relation to five different aspects of autonomy and it is argued that both individually and jointly these aspects will support the models called shared rational deliberative patient choice and joint decision as the preferred versions from an autonomy perspective. Expand
Shared Decision Making, Paternalism and Patient Choice
TLDR
In the article, different versions of SDM are explored, versions compatible with paternalism and patient choice as well as versions that go beyond these traditional decision making models, including the Shared Rational Deliberative Joint Decision model. Expand
Patient non-compliance: deviance or reasoned decision-making?
TLDR
The solution to the waste of resources inherent in non-compliance lies not in attempting to increase patient compliance per se, but in the development of more open, co-operative doctor-patient relationships. Expand
Medication practice and feminist thought: a theoretical and ethical response to adherence in HIV/AIDS.
TLDR
It is proposed that one of these alternatives, medication practice, broadens the understanding of individuals' medication-taking behaviour, speaks to the inherent power inequities in the patient-provider interaction, and addresses the ethical shortcomings in the traditional construal. Expand
The Concept of Negotiation in Shared Decision Making
  • L. Sandman
  • Psychology, Medicine
  • Health Care Analysis
  • 2008
TLDR
It is suggested that the interaction between patient and professional in case of conflict is more accurately described in terms of an internal balancing of values like patient best interest, patient autonomy and patient adherence by the professional that is accepted by the patient. Expand
Beyond Decision Making: Class, Community Organizations, and the Healthwork of People Living with HIV/AIDS. Contributions from Institutional Ethnographic Research
TLDR
This article focuses on two aspects of the knowledge relations of coming to take pharmaceutical medications that transcend the conceptual and relational terrain of rational decision-making perspectives and investigates the knowledge-mediating activities of community-based organizations that help mitigate those disjunctures. Expand
Non-compliance and professional power.
TLDR
The non- compliance of patients with prescribed treatments is considered as a barrier to effective health care, and the maintenance of professional power and control is suggested as central to the debates surrounding non-compliance. Expand
Medical compliance as an ideology.
TLDR
It is argued that the popularity of compliance and the uncertainty over its determinants can be understood if compliance is analyzed as an ideology that assumes and justifies physician authority. Expand
Nurses and 'difficult' patients: negotiating non-compliance.
TLDR
A patient-centred approach involves transferring power and authority away from health care professionals and towards patients, and is encouraged to take a leadership role by changing the way in which health care is delivered towards a focus on patients' lives. Expand
Autonomy or non-compliance in adolescent diabetes?
TLDR
Recommendations for nursing practice are made, taking into account the increasing need for autonomy and independence in adolescence, for teenagers with diabetes. Expand
...
1
2
3
4
...