ArticleJournal of medical ethics2012
Predictors of hospitalised patients' preferences for physician-directed medical decision-making.
Article in Journal of medical ethics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Socio-economic differences in patient participation behaviours in doctor-patient interactions-A systematic mapping review of the literature.Health expectations : an international journal of public participation in health care and health policy · 2019Pooled it
- Effectiveness of a brief hope intervention for chronic kidney disease patients on the decisional conflict and quality of life: a pilot randomized controlled trial.BMC nephrology · 2022Trial
- Exploring older people's end-of-life care preferences over time: A scoping review.Palliative medicine · 2025Article
- Experiences of End-of-Life Decision-Making in Equine Veterinary and Charity Teams.Animals : an open access journal from MDPI · 2025Article
- Practical approaches to the tasks of preserving autonomy and respecting vulnerability among critically ill adult patients: a narrative review.Critical care science · 2025Review
- Association of Preferences for Participation in Decision-making With Care Satisfaction Among Hospitalized Patients.JAMA network open · 2020Article
- Primary Care Pre-Visit Electronic Patient Questionnaire for Asthma: Uptake Analysis and Predictor Modeling.Journal of medical Internet research · 2020Article
- When Religion and Medicine Clash: Non-beneficial Treatments and Hope for a Miracle.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2019Article
- Invited Commentary: Changing the conversation at the end of life: How the language we use impacts surrogates' decision-making burden.Proceedings (Baylor University. Medical Center) · 2017Article
- Overtreatment in the United States.PloS one · 2017Article
- Effect of Health Literacy on Decision-Making Preferences among Medically Underserved Patients.Medical decision making : an international journal of the Society for Medical Decision Making · 2016Article
- Association between Internet use and decision-making preference in older adults.Gerontechnology : international journal on the fundamental aspects of technology to serve the ageing society · 2016Article
- "Doctor, Make My Decisions": Decision Control Preferences, Advance Care Planning, and Satisfaction With Communication Among Diverse Older Adults.Journal of pain and symptom management · 2016Article
- The effect of tablet computers with a mobile patient portal application on hospitalized patients' knowledge and activation.Journal of the American Medical Informatics Association : JAMIA · 2016Article
- Inability to consent does not diminish the desirability of stroke thrombolysis.Annals of neurology · 2014Article
- The collaborative autonomy model of medical decision-making.Neurocritical care · 2014Review
- Association of patient preferences for participation in decision making with length of stay and costs among hospitalized patients.JAMA internal medicine · 2013Article
- Ethical aspects of obstetric care: expectations and experiences of patients in South East Nigeria.International journal of women's health · 2013Article
- Weighting composite endpoints in clinical trials: essential evidence for the heart team.The Annals of thoracic surgery · 2012Article
- Exploring Client-Centered Care Experiences in In-Patient Rehabilitation Settings.Global qualitative nursing researchArticle
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5 authors.
Funding
Abstract
backgroundAlthough medical ethicists and educators emphasise patient-centred decision-making, previous studies suggest that patients often prefer their doctors to make the clinical decisions.
objectiveTo examine the associations between a preference for physician-directed decision-making and patient health status and sociodemographic characteristics.
methodsSociodemographic and clinical information from all consenting general internal medicine patients at the University of Chicago Medical Center were examined. The primary objectives were to (1) assess the extent to which patients prefer an active role in clinical decision-making, and (2) determine whether religious service attendance, the importance of religion, self-rated spirituality, Charlson Comorbidity Index, self-reported health, Vulnerable Elder Score and several demographic characteristics were associated with these preferences.
resultsData were collected from 8308 of 11,620 possible participants. Ninety-seven per cent of respondents wanted doctors to offer them choices and to consider their opinions. However, two out of three (67%) preferred to leave medical decisions to the doctor. In multiple regression analyses, preferring to leave decisions to the doctor was associated with older age (per year, OR=1.019, 95% CI 1.003 to 1.036) and frequently attending religious services (OR=1.5, 95% CI 1.1 to 2.1, compared with never), and it was inversely associated with female sex (OR=0.6, 95% CI 0.5 to 0.8), university education (OR=0.6, 95% CI 0.4 to 0.9, compared with no high school diploma) and poor health (OR=0.6, 95% CI 0.3 to 0.9).
conclusionsAlmost all patients want doctors to offer them choices and to consider their opinions, but most prefer to leave medical decisions to the doctor. Patients who are male, less educated, more religious and healthier are more likely to want to leave decisions to their doctors, but effects are small.
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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.