KMID : 1025620150180020200
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Korean Journal of Medical Ethics 2015 Volume.18 No. 2 p.200 ~ p.216
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Implications of Decision Coaching in Shared Decision Making
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Lee Eun-Young
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Abstract
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In shared decision-making, patients and physicians work together as decision-making partners. To overcome the imbalance of medical knowledge between physicians and patients and to assist patients in the shared decision-making process, patient decision aids (PtDAs) have been proposed. PtDAs improve patients¡¯ knowledge, enhance their accurate perception of risks, help them achieve choices that match their values, and stimulate them to become more actively involved in the decision-making process. Nevertheless, many studies have reported that patients have difficulty in fully participating in shared-decision making. This in turn gives rise to the need for medical decision coaching, which aims to develop patients¡¯ confidence and skills in deliberating about options and helps to prepare them for making decisions with their practitioners. Medical decision coaching is provided by trained individuals, and the coach¡¯s role has been described as that of a medical decision counsellor, educator, navigator, and facilitator. In this article, I describe a framework for medical decision coaching to support shared decisions. Additionally I discuss the implications of medical decision coaching in Korean society.
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KEYWORD
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shared decision-making, medical counselling, medical decision coaching, medical decisions, patient decision aids, patient participation
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