Shared decision-making in medical encounters regarding breast cancer treatment : the contribution of methodological triangulation

Détails

ID Serval
serval:BIB_60444426A08E
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Shared decision-making in medical encounters regarding breast cancer treatment : the contribution of methodological triangulation
Périodique
European Journal of Cancer Care
Auteur(s)
Durif-Bruckert C., Roux P., Morelle M., Mignotte H., Faure C., Moumjid-Ferdjaoui N.
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
24
Numéro
4
Pages
461-472
Langue
anglais
Résumé
The aim of this study on shared decision-making in the doctor-patient encounter about surgical treatment for early-stage breast cancer, conducted in a regional cancer centre in France, was to further the understanding of patient perceptions on shared decision-making. The study used methodological triangulation to collect data (both quantitative and qualitative) about patient preferences in the context of a clinical consultation in which surgeons followed a shared decision-making protocol. Data were analysed from a multi-disciplinary research perspective (social psychology and health economics). The triangulated data collection methods were questionnaires (n = 132), longitudinal interviews (n = 47) and observations of consultations (n = 26).
Methodological triangulation revealed levels of divergence and complementarity between qualitative and quantitative results that suggest new perspectives on the three inter-related notions of decision-making, participation and information. Patients' responses revealed important differences between shared decision-making and participation per se. The authors note that subjecting patients to a normative behavioural model of shared decision-making in an era when paradigms of medical authority are shifting may undermine the patient's quest for what he or she believes is a more important right: a guarantee of the best care available.
Mots-clé
triangulation, decision-making, users' experiences, participation, breast cancer, information
Création de la notice
02/04/2015 17:04
Dernière modification de la notice
20/08/2019 15:17
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