Patient communication and shared decision-making in elective aesthetic medicine: a PRISMA systematic review and bibliometric mapping

Elective aesthetic medicine constitutes a hybrid clinical-commercial space in which the logic of care, the logic of consumption and an immediate affective activation coexist around an elective decision made by the patient. The established theoretical frameworks of clinical communication —patient-centered care, shared decision-making (SDM), the Calgary-Cambridge model and the Four Habits model— were originally formulated for non-elective care settings. Their application and adaptation to the elective-commercial context constitutes an emerging research area, with a growing volume of scientific output since 2015 that justifies a focused systematic review. This review synthesizes the available evidence for the 2015-2024 period at the intersection of three thematic axes: (a) patient-centered communicative frameworks and SDM in elective procedures; (b) psychophysiological and behavioral bases of decision-making in elective consultations; and (c) communicative particularities of elective aesthetic medicine. The resulting synthesis grounds the empirical design of Phase II of the doctoral thesis and provides evidence transferable to professional practice. The full protocol and search strategies are documented in the /01_Protocolo and /02_Cadenas_de_busqueda folders of this Project. Pre-registration document compliant with PRISMA-P 2015 (Shamseer et al., 2015) and PRISMA 2020 (Page et al., 2021) guidelines.