Evidence map›Paper›PMID 27044974›Full record

ArticleHealth affairs (Project Hope)2016

The Importance Of Integrating Narrative Into Health Care Decision Making.

Daniel Dohan, Sarah B Garrett, Katharine A Rendle, Meghan Halley, Corey Abramson

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. The Encounter of Two Worlds: Divided Narratives of Decision-Making on Cancer Treatment Between Physicians and Patients.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Artificial Intelligence and Medical Humanities.The Journal of medical humanities · 2022
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Missing Ingredients in Shared Decision-Making?The Psychiatric quarterly · 2019
    Article
  20. 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

5 authors.

Daniel DohanDaniel Dohan (daniel.dohan@ucsf.edu) is a professor in the Philip R. Lee Institute for Health Policy Studies and in the Department of Anthropology, History, and Social Medicine, both at the University of California, San Francisco (UCSF).
Sarah B GarrettSarah B. Garrett is a research analyst in the Philip R. Lee Institute for Health Policy Studies, UCSF.
Katharine A RendleKatharine A. Rendle is a cancer prevention fellow in the Division of Cancer Prevention, National Cancer Institute, in Bethesda, Maryland.
Meghan HalleyMeghan Halley is an assistant scientist at the Palo Alto Medical Foundation Research Institute, in California.
Corey AbramsonCorey Abramson is an assistant professor in the School of Sociology at the University of Arizona, in Tucson.

Funding

Before Consent: Cancer Patients' Deliberations about Early Phase Clinical TrialsR01CA152195 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DOHAN, DANIEL P. · 2010 to 2014
$2.6M
NCI NIH HHS NIH R01 CA152195NCI NIH HHS R01 CA152195
6 · The paper itself

Abstract

When making health care decisions, patients and consumers use data but also gather stories from family and friends. When advising patients, clinicians consult the medical evidence but also use professional judgment. These stories and judgments, as well as other forms of narrative, shape decision making but remain poorly understood. Furthermore, qualitative research methods to examine narrative are rarely included in health science research. We illustrate how narratives shape decision making and explain why it is difficult but necessary to integrate qualitative research on narrative into the health sciences. We draw on social-scientific insights on rigorous qualitative research and our ongoing studies of decision making by patients with cancer, and we describe new tools and approaches that link qualitative research findings with the predominantly quantitative health science scholarship. Finally, we highlight the benefits of more fully integrating qualitative research and narrative analysis into the medical evidence base and into evidence-based medical practice.

Indexed as

Consumer Health InformationNarrationPhysician-Patient RelationsQuality of Health CareAttitude of Health PersonnelCommunity ParticipationDecision MakingDelivery of Health CareDelivery of Health Care, IntegratedFemaleHealth Services ResearchHumansMalePatient ParticipationPractice Patterns, Physicians'Qualitative ResearchConsumer IssuesEvidence-Based MedicineMedicine/Clinical IssuesPersonal Experience (-Narrative Matters-)

Identifiers

PMID27044974
PMCPMC12917866

What OpenQuestion holds

Textmetadata
LicenceTDM
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.