ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2018
Patient Preferences Regarding Shared Decision Making in the Emergency Department: Findings From a Multisite Survey.
Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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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
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical Considerations for Competitive Sports Participation for Athletes With Cardiovascular Abnormalities: A Scientific Statement From the American Heart Association and American College of Cardiology.Journal of the American College of Cardiology · 2025Guideline
- Shared Decision Making for Syncope in the Emergency Department: A Randomized Controlled Feasibility Trial.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2020Trial
- A Team Approach to Patient-Centered Communication in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Impact of a virtual nurse-led Early paLlIative Care IntervenTion (ELICIT) randomized controlled trial.NPJ digital medicine · 2026Article
- 'Communication Is Crucial': A Qualitative Study of Patient Expectations of Diagnostic Tests in Emergency Medicine Practice.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Cognitive Interviews With Emergency Physicians to Understand Disposition Decisions With People With Dementia With Borderline Cases.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Virtual, Nurse-Led Early Primary Palliative Care Intervention (ELICIT) for Community-Dwelling Older Adults With Cognitive Impairment: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- The Design Process of a Digital Patient Decision Tool to Increase Sexually Transmitted Infection Testing in the Emergency Department.Sexually transmitted diseases · 2025Article
- Cognitive Frame and Time Pressure as Moderators Of Clinical Reasoning: A Case Control Study.The western journal of emergency medicine · 2025Article
- Older Adults' Experiences of Emergency Department Admission Decisions: A Qualitative Study in a Public Safety Net Hospital.Journal of general internal medicine · 2025Article
- Shared Decision-Making on Life-Sustaining Treatment: A Survey of Current Barriers in Practice Among Clinicians Across China.Healthcare (Basel, Switzerland) · 2025Article
- Designing Patient-Centered Interventions for Emergency Care: Participatory Design Study.JMIR formative research · 2025Article
- Challenges in the Literature Around Context-Sensitive Implementation of Shared Decision Making in Emergency Medicine: A Scoping Review.Open access emergency medicine : OAEM · 2025Review
- Stroke survivor views on ambulance redirection as a strategy to increase access to thrombectomy in England.British paramedic journal · 2024Article
- A survey of surgical patients' perspectives and preferences towards general anesthesia techniques and shared-decision making.BMC anesthesiology · 2023Article
- The role of emergency physicians in the fight against health misinformation: Implications for resident training.AEM education and training · 2023Article
- Key elements and checklist of shared decision-making conversation on life-sustaining treatment in emergency: a multispecialty study from China.World journal of emergency medicine · 2023Article
- Patient Involvement in Decisions regarding Emergency Department Discharge: A Multimethod Study.Emergency medicine international · 2023Article
- Prediction of patient choice tendency in medical decision-making based on machine learning algorithm.Frontiers in public health · 2023Article
- Discussing patient preferences for levels of life-sustaining treatment: development and pilot testing of a Danish POLST form.BMC palliative care · 2022Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectivesAs shared decision making (SDM) has received increased attention as a method to improve the patient-centeredness of emergency department (ED) care, we sought to determine patients' desired level of involvement in medical decisions and their perceptions of potential barriers and facilitators to SDM in the ED.
methodsWe surveyed a cross-sectional sample of adult ED patients at three academic medical centers across the United States. The survey included 32 items regarding patient involvement in medical decisions including a modified Control Preference Scale and questions about barriers and facilitators to SDM in the ED. Items were developed and refined based on prior literature and qualitative interviews with ED patients. Research assistants administered the survey in person.
resultsOf 797 patients approached, 661 (83%) agreed to participate. Participants were 52% female, 45% white, and 30% Hispanic. The majority of respondents (85%-92%, depending on decision type) expressed a desire for some degree of involvement in decision making in the ED, while 8% to 15% preferred to leave decision making to their physician alone. Ninety-eight percent wanted to be involved with decisions when "something serious is going on." The majority of patients (94%) indicated that self-efficacy was not a barrier to SDM in the ED. However, most patients (55%) reported a tendency to defer to the physician's decision making during an ED visit, with about half reporting they would wait for a physician to ask them to be involved.
conclusionWe found that the majority of ED patients in our large, diverse sample wanted to be involved in medical decisions, especially in the case of a "serious" medical problem, and felt that they had the ability to do so. Nevertheless, many patients were unlikely to actively seek involvement and defaulted to allowing the physician to make decisions during the ED visit. After fully explaining the consequences of a decision, clinicians should make an effort to explicitly ascertain patients' desired level of involvement in decision making.
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