ArticleHealth expectations : an international journal of public participation in health care and health policy2004
How does trust affect patient preferences for participation in decision-making?
Article in Health expectations : an international journal of public participation in health care and health policy, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 3 of them syntheses that pooled it.
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Who cites it
103 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The swine flu vaccine, public attitudes, and researcher interpretations: a systematic review of qualitative research.BMC health services research · 2016Pooled it
- Withdrawal of anticancer therapy in advanced disease: a systematic literature review.BMC cancer · 2015Pooled it
- Patient preferences for shared decisions: a systematic review.Patient education and counseling · 2012Pooled it
- Impact of consultation recordings on patient-reported outcomes in patients with brain tumors: a parallel randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Trial
- Public trust in genomic risk assessment for type 2 diabetes mellitus.Journal of genetic counseling · 2014Trial
- Configural frequency analysis as a method of determining patients' preferred decision-making roles in dialysis.BMC medical informatics and decision making · 2010Trial
- A treatment decision aid may increase patient trust in the diabetes specialist. The Statin Choice randomized trial.Health expectations : an international journal of public participation in health care and health policy · 2009 · on this mapTrial
- Defer, Share, or Drive the Decision: Empowering Patients With Varied Preferences to Engage in Decision-making (an Analysis From Alliance A231701CD).Annals of surgery · 2026Article
- Beyond the Procedure: Non-Clinical Complaints and Gender Disparity Dominate One-Star Yelp Reviews of Pain Physicians.Current pain and headache reports · 2026Review
- Patient Participation in Clinical Ethics Interventions: A Requirement of Procedural and Epistemic Justice.Bioethics · 2026Article
- Advancing Knowledge of Values-Clarification Processes During Complex Decision-Making Among Older Adults With Advanced Cancer: Protocol for a Pilot Randomized Trial Using Simulated Patient-Clinician Encounters.JMIR research protocols · 2025Article
- From Trust to Choice: A Cross-Sectional Survey of How Patient Trust in Pharmacists Shapes Willingness and Vaccination Decision Control Preferences.International journal of environmental research and public health · 2025Article
- The Effects of Patients' Health Information Behaviors on Shared Decision-Making: Evaluating the Role of Patients' Trust in Physicians.Healthcare (Basel, Switzerland) · 2025Article
- Implementation suggestions for shared decision-making: results from a comparative study of inpatients and outpatients experience surveys.BMC health services research · 2025Article
- Exploring Patient Involvement in Treatment Decision-Making for Diabetic Retinopathy: A COM-B Model-Based Cross-Sectional Survey.Patient preference and adherence · 2025Article
- 'Leaving the Door Open': Perspectives on Decision-Making for Non-Emergency Diabetes-Related Amputation.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Interest in over-the-counter progestin-only pills among transgender, nonbinary, and gender-expansive individuals in the United States.American journal of obstetrics and gynecology · 2024Article
- A lifecycle framework illustrates eight stages necessary for realizing the benefits of patient-centered clinical decision support.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Indicators of the dimensions of trust (and mistrust) in early primary care practice: a qualitative study.BMC primary care · 2023Article
- Participation in healthcare consultations: A qualitative study from the perspectives of persons diagnosed with hand osteoarthritis.Health expectations : an international journal of public participation in health care and health policy · 2023Article
43 more citing papers are in PubMed but not listed here.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveDoes trust in physicians aid or hinder patient autonomy? We examine the relationship between trust in the recipient's doctor, and desire for a participative role in decisions about medical treatment.
designWe conducted a cross-sectional survey in an urban Canadian teaching hospital. SETTING AND
participantsA total of 606 respondents in three clinics (breast cancer, prostate cancer, fracture) completed questionnaires. VARIABLES STUDIED: The instrument included the Problem Solving Decision Making (PSDM) Scale, which used two vignettes (current health condition, chest pain) to categorize respondents by preferred role, and the Trust-in-Physician Scale.
resultsFew respondents preferred an autonomous role (2.9% for the current health condition vignette and 1.2% for the chest pain vignette); most preferred shared decision-making (DM) (67.3% current health condition; 48.7% chest pain) or a passive role (29.6% current health condition; 50.1% chest pain). Trust-in-physician yielded 6.3% with blind trust, 36.1% with high trust, 48.6% moderate trust and 9.0% low trust. As hypothesized, autonomous patients had relatively low levels of trust, passive respondents were more likely to have blind trust, while shared respondents had high but not excessive trust. Trust had a significant influence on preferred role even after controlling for the demographic factors such as sex, age and education.
conclusionsVery few respondents wish an autonomous role; those who do tend to have lower trust in their providers. Familiarity with a clinical condition increases desire for a shared (as opposed to passive) role. Shared DM often accompanies, and may require, a trusting patient-physician relationship.
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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.