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• W2153048574 abstract "<h3>Objective</h3> Routine prenatal screening for Down syndrome challenges professional non-directiveness and patient autonomy in daily clinical practices. This paper aims to describe how professionals negotiate their role when a pregnant woman asks them to become involved in the decision-making process implied by screening. <h3>Methods</h3> Forty-one semi-structured interviews were conducted with gynaecologists–obstetricians (n=26) and midwives (n=15) in a large Swiss city. <h3>Results</h3> Three professional profiles were constructed along a continuum that defines the relative distance or proximity towards patients’ demands for professional involvement in the decision-making process. The first profile insists on enforcing patient responsibility, wherein the healthcare provider avoids any form of professional participation. A second profile defends the idea of a shared decision making between patients and professionals. The third highlights the intervening factors that justify professionals’ involvement in decisions. <h3>Conclusions</h3> These results illustrate various applications of the principle of autonomy and highlight the complexity of the doctor–patient relationship amidst medical decisions today." @default.
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• W2153048574 date "2013-03-29" @default.
• W2153048574 modified "2023-10-08" @default.
• W2153048574 title "‘Doctor, what would you do in my position?’ Health professionals and the decision-making process in pregnancy monitoring" @default.
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• W2153048574 doi "https://doi.org/10.1136/medethics-2012-100887" @default.
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