Patient choice in the treatment of breast cancer
Joint decision making can have negative psychological consequences
Many patients would find it reassuring if they felt that they were doing what the doctor considers best rather than using their lay person’s knowledge.
Doctors and health professionals have recognised the need to move from compliance towards concordance when considering patient care. A patient is no longer regarded as someone who should simply “follow doctor’s orders,” and it is now acknowledged that patients are often experts in their own care and that a consultation should be seen as a partnership of equals.
The Right Care Shared Decision Making Programme is run by the National Health Service in the East Midlands and allows “a more empowering, adult-adult relationship which helps give patients the care they need and no less, the care they want and no more.”1 The programme states that this will improve both clinical outcomes and safety and increase adherence to the agreed management plan.
An older woman presented