Original Article

Health Care Analysis

, Volume 20, Issue 3, pp 231-249

Person Centred Care and Shared Decision Making: Implications for Ethics, Public Health and Research

  • Christian MuntheAffiliated withDepartment of Philosophy, Linguistics and Theory of Science, The University of Gothenburg Center for Person Centered Care
  • , Lars SandmanAffiliated withSchool of Health Sciences, University of Borås
  • , Daniela CutasAffiliated withDepartment of Philosophy, Linguistics and Theory of Science, The University of Gothenburg Center for Person Centered CareDepartment of Learning, Informatics, Management and Ethics, Karolinska Institute Email author 

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Abstract

This paper presents a systematic account of ethical issues actualised in different areas, as well as at different levels and stages of health care, by introducing organisational and other procedures that embody a shift towards person centred care and shared decision-making (PCC/SDM). The analysis builds on general ethical theory and earlier work on aspects of PCC/SDM relevant from an ethics perspective. This account leads up to a number of theoretical as well as empirical and practice oriented issues that, in view of broad advancements towards PCC/SDM, need to be considered by health care ethics researchers. Given a PCC/SDM-based reorientation of health care practice, such ethics research is essential from a quality assurance perspective.

Keywords

Adherence Autonomy Health care prioritisation Paternalism Person centred care Responsibility Shared decision making