Table 1 Key characteristics of medical decision-making models3
VariableModel
PaternalisticDeliberativeInterpretativeInformed
Patient’s valuesObjective, shared by patient and physicianOpen to development and revision through moral discussionInchoate and conflicting, requiring elucidationDefined, fixed and known to patient
Physician’s taskPromoting patient’s well-being as perceived by physicianPersuading patient with respect to health- related values as well as informing the patient and implementing the patient’s selected interventionElucidating and interpreting patient’s values as well as informing the patient and implementing the patient’s selected interventionProviding relevant factual information and implementing the patient’s selected treatment
Physician’s roleGuardianFriend/teacherAdvisorCompetent technical expert
Flow of informationPatient ← physicianPatient ↔ physicianPatient ↔ physicianPatient ← physician
Locus of controlPhysicianPatientPatientPatient