Which of the following health communication models emphasises a two-way exchange

of information and shared decision-making between health professionals and patients?

Appeared in: BTSC 3 August 2025

Explanation

The Participatory/Patient-centred model is defined by a collaborative partnership where patients are active participants in their own care.
It is characterized by a two-way exchange of information, allowing patients to share their values, preferences, and concerns, which are then integrated into the care plan.
The core principle is shared decision-making, where the healthcare provider and the patient work together to make choices about treatment and management.
This approach respects the patient's autonomy and treats them as an expert on their own life and experiences.

Option B: The Passive information-delivery model is a one-way communication method. The provider delivers information, and the patient is expected to receive it without active dialogue or feedback. This lacks the 'two-way exchange' required by the question.
Option C: The Authoritative/Autocratic model places the provider in a position of absolute authority. Decisions are made and dictated by the provider with little to no input from the patient, which is the opposite of shared decision-making.
Option D: In the Paternalistic model, the provider acts in what they believe is the patient's best interest, much like a parent would for a child. While well-intentioned, it limits the patient's autonomy and does not involve them in the decision-making process.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Health Communication Models as background academic context rather than a clinical decision trigger.
Adopting a patient-centered approach is a core competency in modern nursing. It is proven to improve patient satisfaction, increase trust, and enhance adherence to treatment plans, leading to better health outcomes.
Nurses are pivotal in facilitating this model. They spend significant time with patients and can act as the bridge for communication, ensuring the patient's voice is heard and that they understand their care options.
This model is crucial for managing chronic diseases, where long-term patient engagement and self-management are key to success.

How to Approach the Question

First, identify the key phrases in the question stem: 'two-way exchange of information' and 'shared decision-making'. These are the defining criteria for the correct answer.
Next, analyze the names of the options for clues. 'Participatory' and 'Patient-centred' inherently suggest collaboration and involvement.
Contrast this with the other options. 'Passive', 'Authoritative', and 'Paternalistic' all imply a one-sided or top-down power dynamic where the patient is not an equal partner.
Match the defining criteria from the question to the model whose name and principles align with them. The Participatory/Patient-centred model is the only one that fits the description of a collaborative, two-way process.

Concept Tested & Keywords

Concept Tested: Health Communication Models
Stem keywords: health communication models, two-way exchange, shared decision-making
Lead-in keywords: Which

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E6 Nursing Fundamentals Potter Perry 12e Part 2 p. 144-146

E6 Nelson Textbook of Pediatrics(2024) — Volume 1 p. 176-178

E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart B (pp 233-449 of 464) p. 177-179

Practise the full BTSC 3 August 2025

Attempt every question from this paper in a timed mock, then review the full solution for each one.