Evidence map›Paper›PMID 19305762›Full record

ArticleHealthcare policy = Politiques de sante2008

How Consumerist Do People Want to Be? Preferred Role in Decision-Making of Individuals with HIV/AIDS.

Sara Urowitz, Raisa Deber

Open access · bronzeAbstract read
In one paragraph

Article in Healthcare policy = Politiques de sante, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.9field-weighted citation impact, top 7% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Article
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  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 2 countries.

Sara UrowitzOncology Education Informatics Program, Princess Margaret Hospital, University Health Network, Toronto, ON.
Raisa Deber
Princess Margaret Cancer Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNorth American bioethics emphasizes autonomy, but do care recipients want an autonomous role in treatment decision-making?

participantsWe surveyed people living with HIV/AIDS (PHAs) treated at 12 clinics affiliated with the HIV Ontario Observational Database (HOOD).

designThe clinics distributed 809 surveys. Demographic information was merged from the HOOD database. MEASUREMENTS: The survey included questions about preferred role, satisfaction with role, trust in physicians, and use and helpfulness of information sources.

resultsThe 431 responses (response rate 53.3%) reflected the group believed most consumerist (well-educated gay men). Most (87%) had high/moderate trust in physicians and were satisfied with their level of involvement in treatment decision-making. They sought information from many sources (mean 8.2), particularly health providers, but also the Internet (used by 42%, seen as somewhat helpful). Nonetheless, only one respondent (0.2%) was categorized as autonomous/consumerist; 20.9% were passive, while 78.9% wanted a shared role.

conclusionsConsumerist rhetoric, with its emphasis on patient autonomy, is oversimplified. Even in this knowledgeable population, respondents wanted to understand their disease and options, but not to take on the provider's role. To our respondents, the optimal doctor-patient relationship is best characterized by a shared, trusting relationship between informed patients and expert providers.

Identifiers

PMID19305762
PMCPMC2645145
OpenAlexW2166960821

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.