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CMAJ. Aug 15, 1994; 151(4): 423–427.
PMCID: PMC1337094

Physicians in health care management: 8. The patient-physician partnership: decision making, problem solving and the desire to participate.


How reasonable are expectations that patients will participate in care decisions? The previous article in this series reviewed models of the patient-physician relationship and views on the extent to which patients want to be informed; it also described one information tool--the interactive videodisc. This article reviews literature on the extent to which patients wish to be involved in making decisions about their care. Neither "sensitive paternalism" nor "informed consent" appears to be ideal. The author suggests a distinction between two elements of choice: problem solving and decision making. This distinction helps in identifying appropriate roles for patient and provider, thereby leading to genuine shared decision making.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
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