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. 2018 Sep 1;2(1):234-238.
doi: 10.1089/heq.2018.0020. eCollection 2018.

Importance of Shared Decision-Making for Vulnerable Populations: Examples from Postmastectomy Breast Reconstruction

Victoria F Grabinski  1 , Terence M Myckatyn  2 , Clara N Lee  3   4 , Sydney E Philpott-Streiff  1 , Mary C Politi  1
Affiliations

Importance of Shared Decision-Making for Vulnerable Populations: Examples from Postmastectomy Breast Reconstruction

Victoria F Grabinski et al. Health Equity. .

Abstract

Shared decision-making (SDM) is a process through which patients and providers collaborate to select a treatment option that aligns with patients' preferences and clinical context. SDM can improve patients' decision quality and satisfaction. However, vulnerable populations face barriers to participation in SDM, which exacerbates disparities in decision quality. This perspective article discusses SDM with vulnerable patients, using examples from patients who made decisions about postmastectomy breast reconstruction. We offer several strategies for clinical practice, medical education, and research to ensure that movements to engage patients in SDM do not exclude already marginalized groups.

Keywords: patient–provider communication; shared decision-making; vulnerable populations.

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Conflict of interest statement

Mary C. Politi has a research contract (2017–2019) from Merck & Co. on a topic unrelated to the content of this article. Dr. Myckatyn is a consultant for and received investigator-initiated grant funding from Allergan Medical, Acelity, RTI Surgical, on topics unrelated to the content of this article.

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