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Shared decision-making for cancer care among racial and ethnic minorities: a systematic review.


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.

SUBMITTER: Mead EL 

PROVIDER: S-EPMC3828995 | biostudies-literature | 2013 Dec

REPOSITORIES: biostudies-literature

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Shared decision-making for cancer care among racial and ethnic minorities: a systematic review.

Mead Erin L EL   Doorenbos Ardith Z AZ   Javid Sara H SH   Haozous Emily A EA   Alvord Lori Arviso LA   Flum David R DR   Morris Arden M AM  

American journal of public health 20131017 12


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 facto  ...[more]

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