What makes decision-making difficult for oncologists faced with critical situations? The socio-affective side of the physician–patient relationship

Léa Restivo 1, 2 Claire Julian-Reynier 3, 2 Laura Peyla 4 Thémis Apostolidis 1, *
* Corresponding author
1 LPS - Laboratoire de Psychologie Sociale
2 SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale
3 Institut Paoli-Calmettes
4 Service Dermatologie, Vénérologie et Cancérologie cutanée [AP-HM Hôpital de la Timone]
Abstract : The aim of this qualitative study based on a Social Representations approach was to explore experienced oncologists' representations of difficult decision-making situations. In total, 22 semi-structured interviews with oncologists were conducted and analysed by performing a thematic content analysis. The thematic content analysis brought to light the main medical problem involved such as uncertainty, the lethal nature of cancer and physicians' specialties, as well as the psychosocial ones, such as patients' non-medical characteristics and the patient-physician relationships. This analysis also showed the painful tensions experienced by specialists in the context of decision-making situations when the medical arguments conflict with the psychosocial ones. These findings suggest that in order to understand more clearly the complex processes involved in difficult medical decision-making situations, studies on physicians' expertise should include the socio-affective climate involved in each patient-physician relationship.
Keywords : Social Representations medical decision-making oncology patients’ non-medical characteristics patient–physician relationships
Document type :
Journal articles
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https://www.hal.inserm.fr/inserm-02101165
Contributor : Christine Dupuis <>
Submitted on : Tuesday, April 16, 2019 - 3:16:47 PM
Last modification on : Friday, April 19, 2019 - 1:40:49 AM

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LPS-AIX | UNIV-AMU | U1252

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Léa Restivo, Claire Julian-Reynier, Laura Peyla, Thémis Apostolidis. What makes decision-making difficult for oncologists faced with critical situations? The socio-affective side of the physician–patient relationship. Journal of Health Psychology, SAGE Publications, 2018, Epub ahead of print. ⟨10.1177/1359105318755431⟩. ⟨inserm-02101165⟩

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