THE MEDICAL DECISION-MAKING PROCESS AND THE FAMILY: THE CASE OF BREAST CANCER PATIENTS AND THEIR HUSBANDS

Objectives: The objectives of the study were (1) to assess similarities and differences between breast cancer patients and their husbands in terms of doctor-patient/spouse relationships and shared decision making; and (2) to investigate the association between breast cancer patients and husbands in...

Ausführliche Beschreibung

Gespeichert in:  
Bibliographische Detailangaben
VerfasserInnen: Gilbar, Roy (Verfasst von) ; Gilbar, Ora (Verfasst von)
Medienart: Elektronisch Aufsatz
Sprache:Englisch
Verfügbarkeit prüfen: HBZ Gateway
Fernleihe:Fernleihe für die Fachinformationsdienste
Veröffentlicht: 2009
In: Bioethics
Jahr: 2009, Band: 23, Heft: 3, Seiten: 183-192
weitere Schlagwörter:B Decision Making
B doctor-patient/husband relationships
B Paternalism
B breast cancer patients
B patient autonomy
B husband
Online-Zugang: Vermutlich kostenfreier Zugang
Volltext (lizenzpflichtig)
Volltext (lizenzpflichtig)
Beschreibung
Zusammenfassung:Objectives: The objectives of the study were (1) to assess similarities and differences between breast cancer patients and their husbands in terms of doctor-patient/spouse relationships and shared decision making; and (2) to investigate the association between breast cancer patients and husbands in terms of preference of type of doctor, doctor-patient relationship, and shared decision making regarding medical treatment. Method: Fifty-seven women with breast cancer, and their husbands, completed questionnaires measuring doctor-patient/spouse relationships (paternalism, autonomy), and decision making regarding medical treatment. Results: Patients believe they have a key role in the medical decision-making process (93%) and that the participation of their husbands, and their agreement with the decision, is important (84% and 89%, respectively). Both breast cancer patients and their husbands prefer a shared decision-making process to paternalistic or autonomy-based approaches. Conclusion: In contrast to legal and bioethical approaches, which focus on the patient as the primary decision maker, this study reflects a practical recognition of the role of the breast cancer patient's husband in the decision-making process. It also reflects a relational rather than an individualistic perception of patient autonomy.
ISSN:1467-8519
Enthält:Enthalten in: Bioethics
Persistent identifiers:DOI: 10.1111/j.1467-8519.2008.00650.x