The Role of Shared Decision-Making in Personalised Medicine: Opening the Debate

Autor: Hector Guadalajara, Olatz Lopez-Fernandez, Miguel León Arellano, Víctor Domínguez-Prieto, Cristina Caramés, Damian Garcia-Olmo
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Pharmaceuticals, Vol 15, Iss 2, p 215 (2022)
Druh dokumentu: article
ISSN: 15020215
1424-8247
DOI: 10.3390/ph15020215
Popis: Surgeons and cancer patients are starting to open the debate on how personalised medicine could use shared decision-making (SDM) to balance the personal and clinical components and thus improve the quality and value of care. Personalised precision medicine (PPM) has traditionally focused on the use of genomic information when prescribing treatments, which are usually pharmaceutical. However, the knowledge base is considerably scarcer in terms of how clinicians can individualise the information they provide patients about the consequences of different treatments, and in doing so involve them in the decision-making process. To achieve this, the ethical implications of SDM must be addressed from both sides. This paper explores the medical characteristics, the SDM implications in severe and fragile patients, potential risks, and observed benefits within this healthcare approach through four clinical cases. Findings shed light on current needs for clinician and patient training and tools related to SDM in PPM, and also remarks on the way in which this shift in healthcare settings is taking place to include the human component together with the biological and technological advances when designing care processes in colorectal cancer.
Databáze: Directory of Open Access Journals
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