From informed consent to shared decision-making.

  title={From informed consent to shared decision-making.},
  author={Howard Manyonga and Graham Robert Howarth and Mark Dinwoodie and Paul Nisselle and Sarah Whitehouse},
  journal={South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde},
  volume={104 8},
Morality in medicine was long dominated by paternalism: the belief, based on the principles of beneficence (best interests) and non-maleficence (no harm), that doctors knew best and only shared information with patients that the doctor felt was necessary. Attitudes today have shifted and there is a recognition that doctors don’t ‘know best’. Patients are entitled to choose for themselves, and respect for patient autonomy (self-determination) is now dominant. Shared decision-making, an approach… CONTINUE READING