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Shared Decision-Making for Cancer Care Among Racial and Ethnic Minorities: A Systematic Review AMERICAN JOURNAL OF PUBLIC HEALTH Mead, E. L., Doorenbos, A. Z., Javid, S. H., Haozous, E. A., Alvord, L. A., Flum, D. R., Morris, A. M. 2013; 103 (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 "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.

View details for DOI 10.2105/AJPH.2013.301631

View details for Web of Science ID 000331043200009

View details for PubMedID 24134353

View details for PubMedCentralID PMC3828995