Open AccessShared Decision-Making for Cancer Care Among Racial and Ethnic Minorities: A Systematic Review
Author(s) -
Erin L. Mead,
Ardith Z. Doorenbos,
Sara H. Javid,
Emily A. Haozous,
Lori Arviso Alvord,
David R. Flum,
Arden M. Morris
Publication year - 2013
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.2013.301631
Subject(s) - cinahl , psycinfo , ethnic group , dyad , context (archaeology) , medline , thematic analysis , medicine , psychology , family medicine , qualitative research , social psychology , nursing , sociology , political science , paleontology , social science , anthropology , law , biology , psychological intervention
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.