Coulter A. Shared decision-making: The debate continues. Health Expect. 2005;8(2):95-6.
There is considerable debate about when, in which circumstances, and to what extent, patients should be encouraged to participate in decisions about their care. This issue of “Health Expectations” includes some important contributions to the debate. Many advocates of shared decision-making suggest it should be restricted to preference-sensitive decisions, i.e. those where the patient’s values out to guide the choice. Informed consent, on the other hand, is perceived to be appropriate, and indeed necessary, for all decisions of significant risk even if there is only one treatment possibility.