The medical decision‐making process and the family: The case of breast cancer patients and their husbands
ROY Gilbar, O Gilbar - Bioethics, 2009 - Wiley Online Library
ROY Gilbar, O Gilbar
Bioethics, 2009•Wiley Online LibraryObjectives: The objectives of the study were (1) to assess similarities and differences
between breast cancer patients and their husbands in terms of doctor‐patient/spouse
relationships and shared decision making; and (2) to investigate the association between
breast cancer patients and husbands in terms of preference of type of doctor, doctor‐patient
relationship, and shared decision making regarding medical treatment. Method: Fifty‐seven
women with breast cancer, and their husbands, completed questionnaires measuring doctor …
between breast cancer patients and their husbands in terms of doctor‐patient/spouse
relationships and shared decision making; and (2) to investigate the association between
breast cancer patients and husbands in terms of preference of type of doctor, doctor‐patient
relationship, and shared decision making regarding medical treatment. Method: Fifty‐seven
women with breast cancer, and their husbands, completed questionnaires measuring doctor …
Abstract
Objectives: The objectives of the study were (1) to assess similarities and differences between breast cancer patients and their husbands in terms of doctor‐patient/spouse relationships and shared decision making; and (2) to investigate the association between breast cancer patients and husbands in terms of preference of type of doctor, doctor‐patient relationship, and shared decision making regarding medical treatment.
Method: Fifty‐seven women with breast cancer, and their husbands, completed questionnaires measuring doctor‐patient/spouse relationships (paternalism, autonomy), and decision making regarding medical treatment.
Results: Patients believe they have a key role in the medical decision‐making process (93%) and that the participation of their husbands, and their agreement with the decision, is important (84% and 89%, respectively). Both breast cancer patients and their husbands prefer a shared decision‐making process to paternalistic or autonomy‐based approaches.
Conclusion: In contrast to legal and bioethical approaches, which focus on the patient as the primary decision maker, this study reflects a practical recognition of the role of the breast cancer patient's husband in the decision‐making process. It also reflects a relational rather than an individualistic perception of patient autonomy.
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