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The behavioural aspects of shared decision making
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Tay, Yong Jun Eugene (2019) The behavioural aspects of shared decision making. PhD thesis, University of Warwick.
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Official URL: http://webcat.warwick.ac.uk/record=b3711570
Abstract
Shared decision making (SDM), a paradigm in which healthcare practitioners and lay people collaborate to make informed and person-centred decisions, has been increasingly advocated in health policy and practice. Despite widespread interest and efforts to embed SDM into routine care, recent research suggest that it is still rarely observed in practice, and that its health outcomes are often mixed.
In this dissertation, I argue that the extant SDM literature has mostly overlooked the behavioural aspects that govern professional-patient collaboration in clinical decision making. To enrich knowledge on the process of sharing in decision making, the role of bounded rationality should be better accounted for. This will enable researchers to understand the complexities involved in a dyadic interaction and the ways in which they contribute to informed and person-centred decision outcomes.
Across three essays, I address the main research questions of: Why is there significant variation in how decision makers implement SDM? What are the behavioural aspects that shape SDM? And, how do behavioural influences affect person-centred care? The first essay reviews the behavioural aspects that underpin SDM and advances an agent-centric model that elucidates the bounded rational nature through which decision agents make person-centred decisions. The second essay supports this model by empirically investigating the ways in which emotion and advice-giving affect SDM. I show that emotion plays a crucial role in shaping patients’ judgment and decision making, with implications for person-centred care. The third piece proposes SDM as a promising framework for enabling person-centred social care and establishes its behavioural dimensions. Overall, this dissertation advances knowledge on the bounded rational nature of social interactions and the ways in which behavioural influences shape informed and person-centred care.
Item Type: | Thesis (PhD) | ||||
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Subjects: | B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > HM Sociology R Medicine > R Medicine (General) |
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Library of Congress Subject Headings (LCSH): | Clinical medicine -- Decision making, Group decision making, Physician and patient, Medical personnel and patient, Decision making -- Psychological aspects | ||||
Official Date: | September 2019 | ||||
Dates: |
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Institution: | University of Warwick | ||||
Theses Department: | Warwick Business School | ||||
Thesis Type: | PhD | ||||
Publication Status: | Unpublished | ||||
Supervisor(s)/Advisor: | Vlaev, Ivo ; Read, Daniel, 1958- ; Massaro, Sebastiano | ||||
Format of File: | |||||
Extent: | viii, 156 leaves : illustrations | ||||
Language: | eng |
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