Resumen de Shared Decision-Making for Cancer Care Among Racial and Ethnic Minorities: A Systematic Review.
Erin L. Mead, Ardith Z. Doorenbos, Sara H. Javid, Emily A. Haozous, Lori Arviso Alvord, David R. Flum, Arden M. Morris
To assess decision-making for cancer treatment among racial/ethnic minority patients, we systematically reviewed and synthesized evidence from studies of "shared decision-making," "cancer," and "minority groups, "using PubMed, 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--physician dyad to include other important stakeholders in the cancer treatment decision process, such as family or community leaders. [ABSTRACT FROM AUTHOR]
