ArticleBMJ quality & safety2022
Is greater patient involvement associated with higher satisfaction? Experimental evidence from a vignette survey.
Article in BMJ quality & safety, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 4 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
47 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Online information on bowel resection for Crohn's disease.Annals of the Royal College of Surgeons of England · 2026Pooled it
- Exploring Communication Dynamics Between Patients and Healthcare Providers in Oncology: A Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2025Pooled it
- The experience of shared decision-making for people with asthma: A systematic review and metasynthesis of qualitative studies.Health expectations : an international journal of public participation in health care and health policy · 2024Pooled it
- Systematic review on the involvement and engagement of patients as advisers for the organisation of organ transplantation services.BMJ open · 2023Pooled it
- Does an app make patients happy? Impact of a novel medical history app on patient satisfaction in urgent care consultations in Germany: cluster-randomized interventional trial 'DASI'.BMC health services research · 2026Trial
- Patients' Preference for Participation in Medical Decision-Making: Secondary Analysis of the BEDSIDE-OUTSIDE Trial.Journal of general internal medicine · 2023Trial
- Factors Influencing Response Rates in National Internet-Based Questionnaires: Analysis of a Large National Survey.JMIR public health and surveillance · 2026Article
- Development and validation of the Patient Involvement in Medication Communication at Hospital discharge Questionnaire (PIMCH-Q).Journal of patient-reported outcomes · 2026Article
- Patient Participation in Decision-Making During Nursing Care: A Relational Autonomy Perspective.Journal of advanced nursing · 2026Article
- On the Move to Surgery: A Scoping Review of Patient-Reported Outcomes for Preoperative Walking Into the Operating Theatre.Journal of advanced nursing · 2026Article
- Shared decision-making in prostate cancer treatment: selecting an androgen deprivation therapy option.Future oncology (London, England) · 2026Review
- Patient and surgeon perspectives on shared decision-making in hip and knee osteoarthritis treatment: a qualitative exploratory study.BMC medical informatics and decision making · 2026Article
- Article
- Experiences of patients and public partners in codesign of Lynch Choices™: an evaluation study using the Patient Engagement In Research Scale (PEIRS-22).Research involvement and engagement · 2026Article
- User Involvement in Transition Care in Virtual 4-Party Meetings: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Arabic translation and psychometric validation of the Problem-Solving Decision-Making scale: A cross-sectional study in Saudi Arabia.PloS one · 2026Article
- Experiences of Decision-Making in Healthcare and Online Health Information-Seeking Among Older Adults and People with Long-Term Disease: Online Survey Study.Journal of patient experience · 2026Article
- Accountability, autonomy, equity, and trust in selected healthcare systems: a comparative analysis.Israel journal of health policy research · 2025Article
- Patient Perception of Involvement in Nursing Bedside Handover: A Cross-Sectional Study.Journal of advanced nursing · 2025Article
- Physical activity in kidney disease: evidence and implementation.Nature reviews. Nephrology · 2025Review
Corrections and comments
- Commented on by
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient-centredness is an essential quality parameter of modern healthcare. Accordingly, involving patients in decisions about care is required by international laws and an increasing number of medical codes and standards. These directives are based on ethical principles of autonomy. Still, there is limited empirical knowledge about the influence of patient involvement on satisfaction with care.
objectiveIn a large national vignette survey, we aimed to empirically test healthcare users' satisfaction with healthcare given different degrees of patient involvement, choices made and outcomes.
methodsA web-based cross-sectional survey distributed to a randomised sample of men in Denmark aged 45-70 years. Case vignettes used prostate-specific antigen (PSA) screening for early detection of prostate cancer as a clinical model. Using a 5-point Likert scale, we measured respondents' satisfaction with care in scenarios which differed in the amount of patient involvement (ranging from no involvement, through involvement with neutral or nudged information, to shared decision-making), the decision made (PSA test or no PSA test) and clinical outcomes (no cancer detected, detection of treatable cancer and detection of non-treatable cancer).
resultsParticipating healthcare users tended to be more satisfied with healthcare in scenarios illustrating greater levels of patient involvement. Participants were positive towards nudging in favour of the intervention but patient involvement through shared decision-making obtained the highest satisfaction ratings (Likert rating 3.81 without any involvement vs 4.07 for shared decision-making, p<0.001). Greater involvement also had an ameliorating effect on satisfaction if a non-treatable cancer was later diagnosed.
conclusionOur study provides empirical support for the hypothesis that greater patient involvement in healthcare decision-making improves satisfaction with care irrespective of decisions made and clinical outcomes. Overall satisfaction with the care illustrated was highest when decisions were reached through shared decision-making.
Indexed as
Identifiers
33888595What 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.