ArticleHealth expectations : an international journal of public participation in health care and health policy2002
The role of patients' meta-preferences in the design and evaluation of decision support systems.
Article in Health expectations : an international journal of public participation in health care and health policy, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed.
- Financial incentives for increasing uptake of HPV vaccinations: a randomized controlled trial.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2015Trial
- A factorial randomised controlled trial of decision analysis and an information video plus leaflet for newly diagnosed hypertensive patients.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003Trial
- Choosing how to decide: empowering patients for shared decision-making in end-of-life care.Medicine, health care, and philosophy · 2026Article
- Racial and sex differences in optimizing anticoagulation therapy for patients with atrial fibrillation.American heart journal plus : cardiology research and practice · 2022Article
- Impact of Nurse-Patient Relationship on Quality of Care and Patient Autonomy in Decision-Making.International journal of environmental research and public health · 2020Article
- Shared decision making: trade-offs between narrower and broader conceptions.Health expectations : an international journal of public participation in health care and health policy · 2011Article
- MATRIX - development and feasibility of a guide for quality assessment of patient decision aids.Psycho-social medicine · 2007Article
- Decision-making about mode of delivery after previous caesarean section: development and piloting of two computer-based decision aids.Health expectations : an international journal of public participation in health care and health policy · 2007Article
- Informed choice for screening: implications for evaluation.BMJ (Clinical research ed.) · 2006Review
- Complex causal process diagrams for analyzing the health impacts of policy interventions.American journal of public health · 2006Article
- Integrating Decision Making and Mental Health Interventions Research: Research Directions.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2006Article
- Evidence-based patient choice: a prostate cancer decision aid in plain language.BMC medical informatics and decision making · 2005Article
- Treatment decision aids: conceptual issues and future directions.Health expectations : an international journal of public participation in health care and health policy · 2005Article
- Shared decision-making: the debate continues.Health expectations : an international journal of public participation in health care and health policy · 2005Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The arrival of new analysis-based decision technologies will necessitate a profound rethinking both of the nature of the patient-doctor relationship and of the way aids and support systems designed to improve decision-making within that relationship are designed and evaluated. One-dimensional typologies of the traditional 'paternalist/shared/informed' sort do not provide the complexity called for by the heterogeneity of patient's 'meta-preferences' regarding their relationship with a doctor on the one hand and regarding the analytical level of judgement and decision-making on the other. A multidimensional matrix embodying this distinction is proposed as a framework of the minimal complexity required for the design and evaluation of the full range of decision aids and decision modes. Essentially aids should be conceived of and evaluated cell-specifically and the search for universally satisfactory decision support systems abandoned. 'shared' and'informed' are best interpreted as attributes which may or not be in line with a patient's meta-preferences. Future research should focus on the higher level goal of better decision-making, a goal that will need to respect and reflect these meta-preferences.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.