Cited by 646Patient-Provider Communication in HealthcareHealth Literacy and Information AccessibilityEthics and bioethics in healthcare

Framework for teaching and learning informed shared decision making Commentary: Competencies for informed shared decision making Commentary: Proposals based on too many assumptions

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Towle, A., Godolphin, W., Greenhalgh, T., Gambrill, J.·1999·BMJ

Abstract

leaflets for patients, Smith emphasised the time it takes to produce clear, unambiguous material that patients will use.20 In addition to following validated quality criteria, writers should take patients' information needs into account and be aware of how people will read what they have written.21 22 This will require involving patients in developing and testing materials.10 Before embarking on this lengthy process, however, a first step is to check if high quality information already exists.

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  • Multiple stakeholders, including healthcare professionals and informal caregivers, are typically involved in the care of the elderly and should share the decision-making process.

    “Typically, multiple stakeholders are involved in the care of the elderly, including various healthcare professionals and informal caregivers (often family members or significant others) who should share the decision making process with the elderly person and/or their caregiver [5].”

    From Development of a decision guide to support the elderly in decision making about location of care: an iterative, user-centered design (2016) · cites this paper as [5]

    The 'Competencies for physicians for informed shared decision making' section says decision making may involve a team of health professionals and others, including partners and family. The Towle and Godolphin section likewise says a patient's spouse or parent may contribute. Neither passage establishes that multiple stakeholders are typically involved in elderly care or that all should share decisions; the paper frames involvement as possible and dependent on patient preferences. (LLM, conf=0.87)

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Research works printed but not linked: 6

  1. The report of the Independent Review Group, silicone gel breast implants. Lon- don: Department of Health, 1998. (Adjunct to publication www.silicone- review.gov.uk/consent/index.htm.)
  2. Szasz TS, Hollender MH. The basic models of the doctor-patient relationship. Arch Intern Med 1956;97:585-92.
  3. O'Connor AM. Decisional conflict. In: McFarland GK, McFarlane EA, eds. Nursing diagnosis and intervention. 2nd ed. St Louis, MO: CV Mosby, 1989.
  4. Deber RB, Bouchard H, Pendleton A. Implementing shared patient deci- sion making: a review of the literature. In: Treatment of infertility: current practices and psychosocial implications.. Ottawa: Royal Commission on New Reproductive Technologies, 1993:341-433.
  5. Doyal L. Needs, rights and the duty of care towards patients of radically different cultures. In: Fulford KWM, Ersser S, Hope T, eds. Essential prac- tice in patient-centred care. Oxford: Blackwell Science, 1996:198-209.
  6. Barnett R. The limits of competence. Buckingham: Open University Press, 1994.

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Authors
Towle, A., Godolphin, W., Greenhalgh, T., & Gambrill, J.
Affiliations
University of British Columbia (CA)
Corresponding author
Towle, A.
Venue
BMJ
Publisher
BMJ
Published
1999-09-18
Volume
319
Issue
7212
Pages
766-771
ISSN
  • 0007-1447 (ISSN-L)
  • 0959-8138
  • 1468-5833
OpenAlex
W1546732839
Cited by
646
References
50
Citations by year
2026: 5 · 2025: 8 · 2024: 12 · 2023: 15 · 2022: 19 · 2021: 36 · 2020: 30 · 2019: 31 · 2018: 26 · 2017: 28 · 2016: 34 · 2015: 26 · 2014: 28 · 2013: 26 · 2012: 32
Type
journal article
Language
en
Open access
Locations
  • BMJ (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
Keywords
patient information leaflets, patient information needs, patient education
MeSH terms
Clinical Competence, Communication, Humans, Patient Education as Topic, Patient Participation, Patients, Physician-Patient Relations, Teaching, Risk Assessment, Personal Autonomy, Comprehension

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