Shared decision-making for cancer care among racial and ethnic minorities: A systematic review

E.L. Mead, A.Z. Doorenbos, S.H. Javid, E.A. Haozous, L.A. Alvord, D.R. Flum and A.M. Morris

American Journal of Public Health, 2013, vol. 103, issue 12, e15-e29

Abstract: To assess decision-making for cancer treatment among racial/ethnic minority patients, we systematically reviewed and synthesized evidence from studies of"shareddecision-making," "cancer," and "minority groups,"usingPubMed,PsycInfo, CINAHL, and EMBASE. We identified significant themes that we compared across studies, refined, and organized into a conceptual model. Five major themes emerged: Treatment decision-making, patient factors, family and important others, community, and provider factors. Thematic data overlapped categories, indicating that individuals' preferences for medical decision-making cannot be authentically examined outside the context of family and community. The shared decision-making model should be expanded beyond the traditional patient-physiciandyad to include other important stakeholders in the cancer treatment decision process, such as family or community leaders.

Keywords: ancestry group; bibliometrics; decision making; ethnology; family; female; human; male; minority group; Neoplasms; patient participation; ethnology; neoplasm; race; review, Bibliometrics; Continental Population Groups; Decision Making; Family; Female; Humans; Male; Minority Groups; Neoplasms; Patient Participation, Bibliometrics; Continental Population Groups; Decision Making; Family; Female; Humans; Male; Minority Groups; Neoplasms; Patient Participation (search for similar items in EconPapers)
Date: 2013
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Citations: View citations in EconPapers (5)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301631_8

DOI: 10.2105/AJPH.2013.301631

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