Communicative Rationality and Clinical Decision-Making: A Habermasian Perspective on the Doctor-Patient Relationship.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	Communicative Rationality and Clinical Decision-Making: A Habermasian Perspective on the Doctor-Patient Relationship.
Συγγραφείς:	Menezes ADS Jr; Medicine Faculty, Federal University of Goiás, Goiânia, Brazil.; Medical Sciences and Life, Pontifical Catholic University of Goiás, Goiânia, Brazil.
Πηγή:	Journal of evaluation in clinical practice [J Eval Clin Pract] 2026 Sep; Vol. 32 (6), pp. e70555.
Τύπος έκδοσης:	Journal Article; Review
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 9609066 Publication Model: Print Cited Medium: Internet ISSN: 1365-2753 (Electronic) Linking ISSN: 13561294 NLM ISO Abbreviation: J Eval Clin Pract Subsets: MEDLINE
Imprint Name(s):	Original Publication: Oxford, England : Wiley-Blackwell, c1995-
Ιατρικοί όροι (MeSH):	Clinical Decision-Making/methods , Physician-Patient Relations , Communication*, Humans ; Decision Making ; Decision Making, Shared
Περίληψη:	Clinical encounters are where biomedical knowledge, institutional norms, and patients' lived experiences meet. Yet, modern healthcare structures these encounters through documentation, performance measures, and digital tools. These systems prioritise efficiency and measurable outcomes, often creating barriers to authentic dialogue between clinicians and patients. This tension raises philosophical questions about what conditions are necessary for meaningful clinical interactions. This article analyses the doctor-patient relationship using Jürgen Habermas' theory of communicative action. It argues that the key dynamic in clinical consultation is the negotiation of validity claims: truth (biomedical facts), normative rightness (institutional obligations), and sincerity (subjective experience). On this basis, the article proposes a conceptual model that characterises consultation as the interaction among three domains - biomedical facts, institutional norms, and patients' lived experience - summarised as 'Facts, Norms, and Lives.' The analysis studies how modern healthcare pressures shift clinical communication from dialogue aimed at mutual understanding to interaction driven by instrumental goals. The article argues that communicative methods - such as narrative competence and collaborative decision-making - not only restore deliberative legitimacy in clinical encounters, but additionally reinforce the normative foundations of medical practice by conceptualising the consultation as a communicative structure. (© 2026 The Author(s). Journal of Evaluation in Clinical Practice published by John Wiley & Sons Ltd.)
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Contributed Indexing:	Keywords: communicative action; doctor–patient relationship; electronic health records; medical education; medical humanities; narrative medicine; patient‐centred care; shared decision‐making
Entry Date(s):	Date Created: 20260913 Date Completed: 20260913 Latest Revision: 20260915
Update Code:	20260915
PubMed Central ID:	PMC13571804
DOI:	10.1111/jep.70555
PMID:	42732560
Βάση Δεδομένων:	MEDLINE

Περιγραφή
ISSN:	1365-2753
DOI:	10.1111/jep.70555