Titre
'Doctor, what would you do in my position?' Health professionals and the decision-making process in pregnancy monitoring.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Hertig, S.G.
Auteure/Auteur
Cavalli, S.
Auteure/Auteur
Burton-Jeangros, C.
Auteure/Auteur
Elger, B.S.
Auteure/Auteur
Liens vers les unités
ISSN
1473-4257
Statut éditorial
Publié
Date de publication
2014
Volume
40
Numéro
5
Première page
310
Dernière page/numéro d’article
314
Peer-reviewed
Oui
Langue
anglais
Résumé
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.
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.
PID Serval
serval:BIB_5B18C0D83A56
PMID
Date de création
2014-12-08T16:02:22.922Z
Date de création dans IRIS
2025-05-20T14:38:11Z