ArticleHealth expectations : an international journal of public participation in health care and health policy2014
Barriers for an effective communication around clinical decision making: an analysis of the gaps between doctors' and patients' point of view.
Article in Health expectations : an international journal of public participation in health care and health policy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- [Questionnaires of person centered care in primary care. A systematic review].Atencion primaria · 2020Pooled it
- Impact of hearing loss on clinical interactions between older adults and health professionals: a systematic review.European geriatric medicine · 2020Pooled it
- Inappropriate Use of Medication by Elderly, Polymedicated, or Multipathological Patients with Chronic Diseases.International journal of environmental research and public health · 2018Pooled it
- Implementation suggestions for shared decision-making: results from a comparative study of inpatients and outpatients experience surveys.BMC health services research · 2025Article
- An Exploration of the Content and Language Used in Publicly Available National Health Service Patient Information Leaflets for People Considering Shoulder Replacement Surgery: A Qualitative Study.Musculoskeletal care · 2025Article
- Laypeople's Perspective on Physician Work-Hour Restrictions in Japan: A Cross-Sectional Study.Journal of patient experience · 2024Article
- Differences in Perception of Healthcare Management between Patients and Professionals.International journal of environmental research and public health · 2023Article
- The Effects of Physicians' Communication and Empathy Ability on Physician-Patient Relationship from Physicians' and Patients' Perspectives.Journal of clinical psychology in medical settings · 2022Article
- The Treatment Decision-making Preferences of Patients with Prostate Cancer Should Be Recorded in Research and Clinical Routine: a Pooled Analysis of Four Survey Studies with 7169 Patients.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022Article
- Patients' Views on the Design of DiabeText, a New mHealth Intervention to Improve Adherence to Oral Antidiabetes Medication in Spain: A Qualitative Study.International journal of environmental research and public health · 2022Article
- Patients as team members: Factors affecting involvement in treatment decisions from the perspective of patients with a chronic condition.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Patient coaching: What do patients want? A mixed methods study in waiting rooms of outpatient clinics.PloS one · 2022Article
- [Impact of the COVID-19 pandemic on patient-reported patient safety in Primary Care].Atencion primaria · 2021Observational
- Proposals for person-centred care in the COVID-19 era. Delphi study.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Pain Standards for Accredited Healthcare Organizations (ACDON Project): A Mixed Methods Study.Journal of personalized medicine · 2021Article
- Patient-centered care in Israeli IVF units: divergent perceptions of patients and providers.Israel journal of health policy research · 2020Article
- Exploring the barriers to patient engagement in the delivery of safe care in Iranian hospitals: A qualitative study.Nursing open · 2020Article
- Influence of Education Level of Older Patients on Polypharmacy, Potentially Inappropriate Medications Listed in Beer's Criteria, and Unplanned Hospitalization: A Cross-Sectional Study in Lahore, Pakistan.Medicina (Kaunas, Lithuania) · 2018Article
- Barriers to effective communication between family physicians and patients in walk-in centre setting in Dubai: a cross-sectional survey.BMC health services research · 2018Article
- Article
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
backgroundThere are doubts on whether patients feel that they have sufficient information for actively participating in clinical decisions.
objectiveTo describe the type of information that patients receive. To determine whether patients consider this information sufficient, and whether it contributes or not to improve clinical safety. To identify the barriers for patient participation in clinical decision making. STUDY
designCross-sectional study with 764 patients and 327 physicians. STUDY SETTING AND
participantsFourteen health centres belonging to three primary care districts and three hospitals in Spain. PRINCIPAL
findingsJust 35.1% (268) (95% CI 32.2, 39.1%) of patients preferred to have the last word in clinical decisions. Age (39 vs. 62%, P < 0.001) and severity of illness (38 vs. 46%, P = 0.002) increased the tendency to take a passive role. In 85.1% (650) (95% CI 83.3, 88.3%) of the cases, patients reported having received sufficient information. Lack of consultation time (29.6%, 95% CI 25.8, 32.5%) and patients' use of Internet or other sources (19.2%, 95% CI 16.4, 22.2%) were identified as new obstacles to doctor-patient communication by the patients. Only 19.6% (64) (95% CI 15.4, 24.2%) of doctors considered that they could intervene to involve patients in the decisions. DISCUSSIONS AND
conclusionsThe majority of patients prefer the decisions to be made by their doctor, especially those with more severe illnesses, and older patients. Patients are not normally informed about medication interactions, precautions and foreseeable complications. The information provided by general practitioners does not seem to contribute enough to the patient involvement in clinical safety.
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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.