A Communication Model of Shared Decision Making: Accounting for Cancer Treatment Decisions

The authors present a communication model of shared decision making (CMSDM) that explicitly identifies the communication process as the vehicle for decision making in cancer treatment. In this view, decision making is necessarily a sociocommunicative process whereby people enter into a relationship,...

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Bibliographic Details
Published in:Health psychology 2005-07, Vol.24 (4S), p.S99-S105
Main Authors: Siminoff, Laura A, Step, Mary M
Format: Article
Language:English
Subjects:
Cancer
Collaborative decision making
Communication
Decision Making
Doctor-Patient communication
Doctor-Patient relationships
Human
Humans
Interpersonal Communication
Medical Treatment (General)
Models, Theoretical
Neoplasms
Neoplasms - therapy
Patient Participation
Physician-Patient Relations - ethics
Shared Decision Making
Therapeutic Processes
Treatment preferences
United States
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Summary:The authors present a communication model of shared decision making (CMSDM) that explicitly identifies the communication process as the vehicle for decision making in cancer treatment. In this view, decision making is necessarily a sociocommunicative process whereby people enter into a relationship, exchange information, establish preferences, and choose a course of action. The model derives from contemporary notions of behavioral decision making and ethical conceptions of the doctor-patient relationship. This article briefly reviews the theoretical approaches to decision making, notes deficiencies, and embeds a more socially based process into the dynamics of the physician-patient relationship, focusing on cancer treatment decisions. In the CMSDM, decisions depend on (a) antecedent factors that have potential to influence communication, (b) jointly constructed communication climate, and (c) treatment preferences established by the physician and the patient.
ISSN:0278-6133
1930-7810
DOI:10.1037/0278-6133.24.4.S99