'Doctor, what would you do in my position?' Health professionals and the decision-making process in pregnancy monitoring.

Details

Serval ID
serval:BIB_5B18C0D83A56
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
'Doctor, what would you do in my position?' Health professionals and the decision-making process in pregnancy monitoring.
Journal
Journal of Medical Ethics
Author(s)
Hertig S.G., Cavalli S., Burton-Jeangros C., Elger B.S.
ISSN
1473-4257 (Electronic)
ISSN-L
0306-6800
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
40
Number
5
Pages
310-314
Language
english
Abstract
OBJECTIVE: Routine prenatal screening for Down syndrome challenges professional non-directiveness and patient autonomy in daily clinical practices. This paper aims to describe how professionals negotiate their role when a pregnant woman asks them to become involved in the decision-making process implied by screening.
METHODS: Forty-one semi-structured interviews were conducted with gynaecologists-obstetricians (n=26) and midwives (n=15) in a large Swiss city.
RESULTS: Three professional profiles were constructed along a continuum that defines the relative distance or proximity towards patients' demands for professional involvement in the decision-making process. The first profile insists on enforcing patient responsibility, wherein the healthcare provider avoids any form of professional participation. A second profile defends the idea of a shared decision making between patients and professionals. The third highlights the intervening factors that justify professionals' involvement in decisions.
CONCLUSIONS: These results illustrate various applications of the principle of autonomy and highlight the complexity of the doctor-patient relationship amidst medical decisions today.
Pubmed
Web of science
Create date
08/12/2014 18:02
Last modification date
20/08/2019 15:14
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