<unk>  is a trend that arose in answer to medical paternalism. However, only rarely can unchecked physician paternalism be justified, and unlimited patient autonomy would presumably be equally abhorrent. Informed consent is a process where patients make decisions informed by the advice of medical professionals. In recent years, the term<unk> " has been used in many different contexts. These include, for example: shared decision making, participatory medicine, health consumerism, and patient-centered care. For the latter context, i.e. patient-centered care, a more nuanced definition was proposed in 2009 by the president of the Institute for Healthcare Improvement Donald Berwick: "The experience (to the extent the informed, individual patient desires it) of transparency, individualization, recognition, respect, dignity, and choice in all matters, without exception, related to one's person, circumstances, and relationships in health care" are concepts closely related to<unk> . In the UK over the course of 2016 two new relevant terms have expanded in usage: Patient and Public Involvement (PPI) and Engagement (PPIE) in the sense of the older term coproduction (public services). In 2019 a collection of papers on this research topic was published with newer information. With regard to participatory medicine, it has proven difficult to ensure the representativeness of patients. Researchers warn that there are "three different types of representation" which have "possible applications in the context of patient engagement: democratic, statistical, and symbolic."<unk>  is a generic term, and thus no list can be exhaustive; nonetheless, the following description shall subdivide it into several areas where patients and/or their advocates have a role.
Patient participation
Patient group directions
Patient trade-off
Good clinical practice
Patient safety
Criticism of patents
Clinical research ethics
Patient experience