Intended for healthcare professionals

Letters Shared decision making

Obstacles to shared decision making in France

BMJ 2011; 343 doi: (Published 10 August 2011) Cite this as: BMJ 2011;343:d5036
  1. Marc Debled, medical oncologist1,
  2. Fanny Soum-Pouyalet, consulting anthropologist1
  1. 1Institut Bergonié, Bordeaux, France
  1. debled{at}

Although Marshall and Bibby state that a recent systematic review has demonstrated the advantages of shared decision making,1 our results indicate that in France it is not yet common practice or generally considered to be necessary in cancer treatment.

In 2008, the French National Cancer Institute commissioned us to design and construct a shared decision making …

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