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Full-Text Articles in Psychology
Creating A Common Trajectory: Shared Decision Making And Distributed Cognition In Medical Consultations, Katherine Domjan Lippa, Valerie L. Shalin
Creating A Common Trajectory: Shared Decision Making And Distributed Cognition In Medical Consultations, Katherine Domjan Lippa, Valerie L. Shalin
Psychology Faculty Publications
The growing literature on shared decision making and patient centered care emphasizes the patient’s role in clinical care, but research on clinical reasoning almost exclusively addresses physician cognition. In this article, we suggest clinical cognition is distributed between physicians and patients and assess how distributed clinical cognition functions during interactions between medical professionals and patients with Multiple Sclerosis (MS). A combination of cognitive task analysis and discourse analysis reveals the distribution of clinical reasoning between 24 patients and 3 medical professionals engaged in MS management. Findings suggest that cognition was distributed between patients and physicians in all major tasks except …
Navigating The Decision Space: Shared Medical Decision Making As Distributed Cognition, Katherine D. Lippa, Markus Alexander Feufel, F. Eric Robinson, Valerie L. Shalin
Navigating The Decision Space: Shared Medical Decision Making As Distributed Cognition, Katherine D. Lippa, Markus Alexander Feufel, F. Eric Robinson, Valerie L. Shalin
Psychology Faculty Publications
Despite increasing prominence, little is known about the cognitive processes underlying shared decision making. To investigate these processes, we conceptualize shared decision making as a form of distributed cognition. We introduce a Decision Space Model to identify physical and social influences on decision making. Using field observations and interviews, we demonstrate that patients and physicians in both acute and chronic care consider these influences when identifying the need for a decision, searching for decision parameters, making actionable decisions Based on the distribution of access to information and actions, we then identify four related patterns: physician dominated; physician-defined, patient-made; patient-defined, physician-made; …