ReviewJournal of general internal medicine2010
Supporting patient autonomy: the importance of clinician-patient relationships.
Review in Journal of general internal medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 191 papers, 5 of them syntheses 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
191 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- "One's life becomes even more miserable when we hear all those hurtful words". A mixed methods systematic review of disrespect and abuse in abortion care.Frontiers in reproductive health · 2025Pooled it
- Integrating Shared Decision-Making into Undergraduate Oncology Education: A Pedagogical Framework.Journal of cancer education : the official journal of the American Association for Cancer Education · 2024Pooled it
- Impact of Pharmacists' Interventions and Patients' Decision on Health Outcomes in Terms of Medication Adherence and Quality Use of Medicines among Patients Attending Community Pharmacies: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- A systematic review of patient access to medical records in the acute setting: practicalities, perspectives and ethical consequences.BMC medical ethics · 2020Pooled it
- Addressing health literacy in patient decision aids.BMC medical informatics and decision making · 2013Pooled it
- Questioning approaches to consent in time critical obstetric trials: findings from a mixed-methods study.BMJ open · 2024Trial
- Patients' Preference for Participation in Medical Decision-Making: Secondary Analysis of the BEDSIDE-OUTSIDE Trial.Journal of general internal medicine · 2023Trial
- Ethical and methodological challenges slowing progress in primary care-based suicide prevention: Illustrations from a randomized controlled trial and guidance for future research.Journal of psychiatric research · 2022Trial
- Acceptability and Preferences of Two Different Community Models of ART Delivery in a High Prevalence Urban Setting in Zambia: Cluster-Randomized Trial, Nested in the HPTN 071 (PopART) Study.AIDS and behavior · 2022Trial
- Experiences of Wearable Technology by Persons with Knee Osteoarthritis Participating in a Physical Activity Counseling Intervention: Qualitative Study Using a Relational Ethics Lens.JMIR mHealth and uHealth · 2021Trial
- Trial
- Choosing how to decide: empowering patients for shared decision-making in end-of-life care.Medicine, health care, and philosophy · 2026Article
- Children's participation in assent to paediatric oncology research: experiences of children, siblings and parents.Trials · 2026Article
- From Patient Voice to Organizational Adaptability: A Critical Narrative Review and Conceptual Model for Personalized Care.Healthcare (Basel, Switzerland) · 2026Review
- The impact of a virtual wellness course for adults with intellectual and developmental disabilities in the third year of COVID-19.Journal of intellectual disabilities : JOID · 2026Article
- Brain-Hype and For-Profit Medical Devices.Journal of bioethical inquiry · 2026Article
- A review of contemporary autonomy: ethics, authority, and the fragility of the late modern subject.Medicine, health care, and philosophy · 2026Review
- Informed nondissent: an underutilized tool for the NICU context.Journal of perinatology : official journal of the California Perinatal Association · 2026Review
- Modelling the Associations Between the Physician-Patient Relationship and Patient Outcomes via Self-Determination Theory Variables in Chronic Disease Management.International journal of behavioral medicine · 2026Article
- Dignity of Risk or Redistribution of Responsibility? Re-Thinking Ethics, Autonomy and Nursing Practice in Contemporary Aged Care.Nursing inquiry · 2026Article
131 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
Authors and funding
4 authors.
Funding
Abstract
Personal autonomy is widely valued. Recognition of its vulnerability in health care contexts led to the inclusion of respect for autonomy as a key concern in biomedical ethics. The principle of respect for autonomy is usually associated with allowing or enabling patients to make their own decisions about which health care interventions they will or will not receive. In this paper, we suggest that a strong focus on decision situations is problematic, especially when combined with a tendency to stress the importance of patients' independence in choosing. It distracts attention from other important aspects of and challenges to autonomy in health care. Relational understandings of autonomy attempt to explain both the positive and negative implications of social relationships for individuals' autonomy. They suggest that many health care practices can affect autonomy by virtue of their effects not only on patients' treatment preferences and choices, but also on their self-identities, self-evaluations and capabilities for autonomy. Relational understandings de-emphasise independence and facilitate well-nuanced distinctions between forms of clinical communication that support and that undermine patients' autonomy. These understandings support recognition of the value of good patient-professional relationships and can enrich the specification of the principle of respect for autonomy.
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.