TY - JOUR
T1 - Importance of Shared Decision-Making for Vulnerable Populations
T2 - Examples from Postmastectomy Breast Reconstruction
AU - Grabinski, Victoria F.
AU - Myckatyn, Terence M.
AU - Lee, Clara N.
AU - Philpott-Streiff, Sydney E.
AU - Politi, Mary C.
N1 - Funding Information:
The authors thank Rajiv Parikh, MD, for his contributions to project design. Research reported in this publication was supported by the Siteman Cancer Center through a Siteman Investment Program Pre-R01 Award, funded by the Cancer Frontier Fund through the foundation for Barnes-Jewish Hospital and Siteman Cancer Center, to Drs. Myckatyn and Politi.
Funding Information:
Mary C. Politi has a research contract (2017–2019) from Merck & Co. on a topic unrelated to the content of this article. Dr. Myckatyn is a consultant for and received investigator-initiated grant funding from Allergan Medical, Acelity, RTI Surgical, on topics unrelated to the content of this article.
Publisher Copyright:
© Victoria F. Grabinski et al. 2018.
PY - 2018
Y1 - 2018
N2 - Shared decision-making (SDM) is a process through which patients and providers collaborate to select a treatment option that aligns with patients' preferences and clinical context. SDM can improve patients' decision quality and satisfaction. However, vulnerable populations face barriers to participation in SDM, which exacerbates disparities in decision quality. This perspective article discusses SDM with vulnerable patients, using examples from patients who made decisions about postmastectomy breast reconstruction. We offer several strategies for clinical practice, medical education, and research to ensure that movements to engage patients in SDM do not exclude already marginalized groups.
AB - Shared decision-making (SDM) is a process through which patients and providers collaborate to select a treatment option that aligns with patients' preferences and clinical context. SDM can improve patients' decision quality and satisfaction. However, vulnerable populations face barriers to participation in SDM, which exacerbates disparities in decision quality. This perspective article discusses SDM with vulnerable patients, using examples from patients who made decisions about postmastectomy breast reconstruction. We offer several strategies for clinical practice, medical education, and research to ensure that movements to engage patients in SDM do not exclude already marginalized groups.
KW - patient-provider communication
KW - shared decision-making
KW - vulnerable populations
UR - http://www.scopus.com/inward/record.url?scp=85078827296&partnerID=8YFLogxK
U2 - 10.1089/heq.2018.0020
DO - 10.1089/heq.2018.0020
M3 - Review article
C2 - 30283872
AN - SCOPUS:85078827296
SN - 2473-1242
VL - 2
SP - 234
EP - 238
JO - Health Equity
JF - Health Equity
IS - 1
ER -