ArticleBMC family practice2007
Clinical decision-making: physicians' preferences and experiences.
Article in BMC family practice, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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
37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Shared decision-making behaviours in health professionals: a systematic review of studies based on the Theory of Planned Behaviour.Health expectations : an international journal of public participation in health care and health policy · 2015Pooled it
- Trial
- Directive counsel and morally controversial medical decision-making: findings from two national surveys of primary care physicians.Journal of general internal medicine · 2014Trial
- Trial
- Patient-physician agreement on the content of CHD prevention discussions.Health expectations : an international journal of public participation in health care and health policy · 2011Trial
- Japanese hematologists' and oncologists' perceptions of patient preferences for shared decision-making.BMC research notes · 2026Article
- What Information on Mammographic Screening is Available to Women in Quebec, Ontario and Canada: Results from a Document Analysis.Public health ethics · 2026Article
- Something old, something borrowed, something new: frameworks to guide cultural adaptations and their documentation in aphasia treatments.Aphasiology · 2026Article
- Family involvement in medical decision-making: examining the applicability of the legal framework in Flemish general practice through a vignette survey.BMC medical ethics · 2026Article
- 'A return on investment'. How shared decision-making benefits doctors: a key informant interview study.BMJ open · 2025Article
- Article
- Critical Care Physicians' Perspectives on Nudging in Communication.JAMA network open · 2025Article
- Triadic Perspectives on Decision Making in Psychiatry: A Qualitative Study on Service Users, Caregivers and Healthcare Professionals in Latvia.Healthcare (Basel, Switzerland) · 2025Article
- Mixed Comparative Evaluation of a Training Program Dedicated to Cystic Fibrosis Reference Centers: Protocol for the Pilot Implementation of Shared Decision-Making in the Treatment of Diabetes in Adult Patients With Cystic Fibrosis.JMIR research protocols · 2025Article
- Harnessing innovation to help meet the needs of elders: field testing an electronic tool to streamline geriatric assessments across healthcare settings.Family medicine and community health · 2024Article
- Physicians' Perspectives on the Impact of Insurance Status on Clinical Decision-Making in Saudi Arabia.Cureus · 2024Article
- Understanding what matters to metastatic castration-resistant prostate cancer (mCRPC) patients when considering treatment options: A US patient preference survey.Cancer medicine · 2023Article
- User-Centered Design of a Clinical Tool for Shared Decision-making About Diet in Primary Care.Journal of general internal medicine · 2023Article
- Ambivalence toward euthanasia and physician-assisted suicide has decreased among physicians in Finland.BMC medical ethics · 2022Article
- Correlation analysis between physicians' evaluations of doctor-patient relationship and their preferences for shared decision-making in China.Frontiers in psychiatry · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundShared decision-making has been advocated; however there are relatively few studies on physician preferences for, and experiences of, different styles of clinical decision-making as most research has focused on patient preferences and experiences. The objectives of this study were to determine 1) physician preferences for different styles of clinical decision-making; 2) styles of clinical decision-making physicians perceive themselves as practicing; and 3) the congruence between preferred and perceived style. In addition we sought to determine physician perceptions of the availability of time in visits, and their role in encouraging patients to look for health information.
methodsCross-sectional survey of a nationally representative sample of U.S. physicians.
results1,050 (53% response rate) physicians responded to the survey. Of these, 780 (75%) preferred to share decision-making with their patients, 142 (14%) preferred paternalism, and 118 (11%) preferred consumerism. 87% of physicians perceived themselves as practicing their preferred style. Physicians who preferred their patients to play an active role in decision-making were more likely to report encouraging patients to look for information, and to report having enough time in visits.
conclusionPhysicians tend to perceive themselves as practicing their preferred role in clinical decision-making. The direction of the association cannot be inferred from these data; however, we suggest that interventions aimed at promoting shared decision-making need to target physicians as well as patients.
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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.