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Person centred care and shared decision making: Implications for ethics, public health and research

Journal article
Authors Christian Munthe
Lars Sandman
Daniela Cutas
Published in Health Care Analysis
Volume 20
Issue 3
Pages 231-249
ISSN 1065-3058
Publication year 2012
Published at University of Gothenburg Centre for person-centred care (GPCC)
Department of Philosophy, Linguistics and Theory of Science
Pages 231-249
Language en
Keywords Adherence, Autonomy, Bioethics, Ethics, Health care ethics, Health care prioritisation, Medical ethics, Nursing ethics, Paternalism, Person centred care, Responsibility, Public health ethics, Shared decision making
Subject categories Health Care Service and Management, Health Policy and Services and Health Economy, Public health medicine research areas, Nursing, Medical Ethics, Practical philosophy, Ethics


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.

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