Cover Image

Using argumentation theory to identify the challenges of shared decision-making when the doctor and the patient have a difference of opinion

Claudia A. Zanini, Sara Rubinelli
  • Claudia A. Zanini
    Swiss Paraplegic Research, Lucerne, Switzerland & University of Lucerne, Switzerland, Switzerland
  • Sara Rubinelli
    Swiss Paraplegic Research, Lucerne, Switzerland & University of Lucerne, Switzerland, | sara.rubinelli@paranet.ch

Abstract

This paper aims to identify the challenges in the implementation of shared decision-making (SDM) when the doctor and the patient have a difference of opinion. It analyses the preconditions of the resolution of this difference of opinion by using an analytical and normative framework known in the field of argumentation theory as the ideal model of critical discussion. This analysis highlights the communication skills and attitudes that both doctors and patients must apply in a dispute resolution-oriented communication. Questions arise over the methods of empowerment of doctors and patients in these skills and attitudes as the preconditions of SDM. Overall, the paper highlights aspects in which research is needed to design appropriate programmes of training, education and support in order to equip doctors and patients with the means to successfully engage in shared decision-making.

Keywords

doctor-patient communication, shared decision-making, argumentation theory, patient’s perspective, empowerment

Full Text:

PDF
HTML
Submitted: 2011-12-21 21:11:26
Published: 2012-06-15 08:40:54
Search for citations in Google Scholar
Related articles: Google Scholar
Abstract views:
1962

Views:
PDF
422
HTML
281

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM


Copyright (c) 2012 Claudia A. Zanini, Sara Rubinelli

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
 
© PAGEPress 2008-2017     -     PAGEPress is a registered trademark property of PAGEPress srl, Italy.     -     VAT: IT02125780185