Health Care Analysis

, Volume 20, Issue 3, pp 231–249 | Cite as

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

  • Christian Munthe
  • Lars Sandman
  • Daniela Cutas
Original Article


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.


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



This work was supported by University of Gothenburg Centre for Person-Centred Care (GPCC), Sweden. GPCC is funded by the Swedish Government’s grant for Strategic Research Areas, Care Sciences [Application to Swedish Research Council nr 2009-1088] and co-funded by University of Gothenburg, Sweden.


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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Christian Munthe
    • 1
  • Lars Sandman
    • 2
  • Daniela Cutas
    • 1
    • 3
  1. 1.Department of Philosophy, Linguistics and Theory of ScienceThe University of Gothenburg Center for Person Centered CareGothenburgSweden
  2. 2.School of Health SciencesUniversity of BoråsBoråsSweden
  3. 3.Department of Learning, Informatics, Management and EthicsKarolinska InstituteStockholmSweden

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