'Doctor, what would you do in my position?' Health professionals and the decision-making process in pregnancy monitoring.
J Med Ethics
; 40(5): 310-4, 2014 May.
Article
en En
| MEDLINE
| ID: mdl-23543803
ABSTRACT
OBJECTIVE:
Routine prenatal screening for Down syndrome challenges professional non-directiveness and patient autonomy in daily clinical practices. This paper aims to describe how professionals negotiate their role when a pregnant woman asks them to become involved in the decision-making process implied by screening.METHODS:
Forty-one semi-structured interviews were conducted with gynaecologists-obstetricians (n=26) and midwives (n=15) in a large Swiss city.RESULTS:
Three professional profiles were constructed along a continuum that defines the relative distance or proximity towards patients' demands for professional involvement in the decision-making process. The first profile insists on enforcing patient responsibility, wherein the healthcare provider avoids any form of professional participation. A second profile defends the idea of a shared decision making between patients and professionals. The third highlights the intervening factors that justify professionals' involvement in decisions.CONCLUSIONS:
These results illustrate various applications of the principle of autonomy and highlight the complexity of the doctor-patient relationship amidst medical decisions today.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Métodos Terapéuticos y Terapias MTCI:
Terapias_manuales
/
Shiatzu
Asunto principal:
Relaciones Médico-Paciente
/
Actitud del Personal de Salud
/
Síndrome de Down
/
Autonomía Personal
/
Toma de Decisiones
/
Obstetricia
Tipo de estudio:
Diagnostic_studies
/
Guideline
/
Prognostic_studies
/
Qualitative_research
País/Región como asunto:
Europa
Idioma:
En
Revista:
J Med Ethics
Año:
2014
Tipo del documento:
Article
País de afiliación:
Suiza