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Necessary for shared decision making is understanding personal risk, and unfortunately, conveying the concept of risk to a patient is often challenging [ 25].
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There is here scope for a greater attention to the concept of 'distributed decision making'; that is, understanding how 'decisions are distributed across time, courses of actions, people, situations and technologies' [ 24].
Without sufficient understanding, decision making is not informed.
The stage of decision making is likely to be key to understanding the decision making process, and therefore these studies lack an essential dimension.
In modern Western societies the most common understanding of decision making is that it is rational self-interested, purational self-interested
The cultural sensitivity of tools to support patient understanding and decision making is a further area in need of research.
The stage of decision making is likely to be an important element in understanding the decision making process.
As already noted, the body of knowledge that can be drawn upon to guide decision making is limited and there is often inadequate understanding of the extent to which findings are contextually bounded.
On understanding: "The key to good decision making is not knowledge.
However, taking into account concepts like "patient involvement" and "shared decision making", an understanding of patient priorities concerning treatment decision making is required.
A need for further understanding carers' perceptions of their agency in decision making is therefore indicated.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com