Evidence map›Paper›PMID 34642193›Full record

ArticleBMJ open2021

What role do patients prefer in medical decision-making?: a population-based nationwide cross-sectional study.

Micaela Gregório, Andreia Teixeira, Teresa Henriques, Rosália Páscoa, Sofia Baptista, Rosa Carvalho, Carlos Martins

Abstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Article
  2. Enhancing Post-Discharge Care for People Who Have Had an Acute Myocardial Infarction in Portugal: Insights From Patient Journey Mapping.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  3. Article
  4. Article
  5. Article
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  8. Review
  9. Article
  10. Article
  11. Mental Health Patient-Reported Outcomes and Experiences Assessment in Portugal.International journal of environmental research and public health · 2022
    Article
  12. Article
  13. 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

7 authors.

Micaela GregórioMEDCIDS - Department of Community Medicine, Information and Decision in Health, Faculty of Medicine, University of Porto, 4099-002 Porto, Portugal.ORCID 0000-0001-8168-0009
Andreia TeixeiraMEDCIDS - Department of Community Medicine, Information and Decision in Health, Faculty of Medicine, University of Porto, 4099-002 Porto, Portugal.
Teresa HenriquesMEDCIDS - Department of Community Medicine, Information and Decision in Health, Faculty of Medicine, University of Porto, 4099-002 Porto, Portugal.ORCID 0000-0002-4032-9594
Rosália PáscoaMEDCIDS - Department of Community Medicine, Information and Decision in Health, Faculty of Medicine, University of Porto, 4099-002 Porto, Portugal.ORCID 0000-0001-8782-0260
Sofia BaptistaMEDCIDS - Department of Community Medicine, Information and Decision in Health, Faculty of Medicine, University of Porto, 4099-002 Porto, Portugal.ORCID 0000-0002-2604-9369
Rosa Carvalho#H4A Primary Healthcare Research Network, Porto, Portugal.
Carlos MartinsMEDCIDS - Department of Community Medicine, Information and Decision in Health, Faculty of Medicine, University of Porto, 4099-002 Porto, Portugal carlosmartins20@gmail.com.ORCID 0000-0001-8561-5167

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess patients' preferred roles in healthcare-related decision-making in a representative sample of the Portuguese population.

designPopulation-based nationwide cross-sectional study. SETTING AND

participantsA sample of Portuguese people 20 years or older were interviewed face-to-face using a questionnaire with the Problem-Solving Decision-Making scale. OUTCOMES: The primary outcome was patients' preferred role for each vignette of the problem-solving decision-making scale. Sociodemographic factors associated with the preferred roles were the secondary outcomes.

results599 participants (20-99 years, 53.8% women) were interviewed. Three vignettes of the Problem-Solving Decision-Making scale were compared:

conclusionsIn this representative sample of the Portuguese mainland population, most patients preferred a practitioner-controlling role for both the problem-solving and decision-making components. In a life-threatening situation, patients were more willing to let the doctor decide. In contrast, in a less serious situation, there is a greater willingness to participate in decision-making. We have found that shared decision-making is more acceptable to better-educated patients in the problem-solving component and to people who are younger, higher educated and employed, in the decision-making component.

Indexed as

Patient ParticipationQuality of LifeClinical Decision-MakingCross-Sectional StudiesDecision MakingFemaleHumansMalePhysician-Patient Relationsgeneral medicine (see internal medicine)medical education & trainingmedical ethics

Identifiers

PMID34642193
PMCPMC8513266

What OpenQuestion holds

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LicenceCC BY-NC
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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.