Mente compartida. Una forma de tomar decisiones entre pacientes, familias y médicos

Ronald Epstein es un experto en comunicación médico paciente, nos regala una estupenda reflexión.



 Choices in medicine are made in the context of relationships. These relationships may be short- or long-term, with health professionals, family, on-line communities and others. While relationships may interfere with individual patient autonomy by introducing biases and values other than the patient’s own, they can also bolster patients’ autonomy, perspective-taking and clarity in situations characterized by difficult choices, strong emotions and ambiguity. Drawing on the psychological concept of intersubjectivity, and research on the interpersonal neurobiology of relationships, I will examine qualities and facilitators of shared information, shared deliberation and shared mind in health care.

About Ron Epstein:
Ronald Epstein MD is Professor of Family Medicine, Psychiatry, Oncology and Nursing at the University of Rochester, and board-certified in Family Medicine and Hospice and Palliative Medicine.  He directs the Center for Communication and Disparities Research and the Dean’s Teaching Fellowship Program. Dr. Epstein’s research has added to our understanding of the impact of patient-physician relationships and communication on health, health care and health care costs. He has developed innovative educational programs in mindful practice, communication skills, the patient-physician relationship, physician self-awareness and assessment of professional competence, including peer assessment.  His influential papers have outlined habits of mind of master clinicians (Mindful Practice, JAMA, 1999), professional competence (JAMA, 2002) and assessment (NEJM, 2007).  Recently, he demonstrated effects of a mindful communication program on physician empathy, burnout and clinical care (JAMA 2009). He has over 100 peer-reviewed publications and an additional 60 chapters, editorials and monographs.


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