ArticlePatient education and counseling2024
Uncertainty tolerance among primary care physicians: Relationship to shared decision making-related perceptions, practices, and physician characteristics.
Article in Patient education and counseling, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Sex of the Treating Rheumatologist and Disease Activity Outcomes in Psoriatic Arthritis.Mayo Clinic proceedings. Innovations, quality & outcomes · 2026Article
- Patterns of negative trauma laparotomy worldwide: a sub-analysis of a global dataset.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- How Tolerance of Uncertainty Relates to Well-Being in Japanese Primary Care Physicians: A Cross-Sectional Study.Yonago acta medica · 2026Article
- Development and Validation of the Chinese Physicians' Reactions to Uncertainty Scale for Endoscopy: A Mixed-Methods Approach.Canadian journal of gastroenterology & hepatology · 2026Article
- The potential of uncertainty tolerance measures to identify specific needs of first-year medical residents: an exploratory study.BMC medical education · 2025Article
- Critical Care Physicians' Perspectives on Nudging in Communication.JAMA network open · 2025Article
- Exploring response process validity of uncertainty tolerance scales implemented among health professions students.Anatomical sciences education · 2025Article
- Twelve Tips to Train Medical Students to Manage Their Uncertainty and to Provide Reassurance to Patients and Their Caregivers.Medical science educator · 2025Article
- Psychometric re-evaluation of the German version of the Physicians' Reaction to Uncertainty Scale.Frontiers in psychology · 2025Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveUnderstand how physicians' uncertainty tolerance (UT) in clinical care relates to their personal characteristics, perceptions and practices regarding shared decision making (SDM).
methodsAs part of a trial of SDM training about colorectal cancer screening, primary care physicians (n = 67) completed measures of their uncertainty tolerance in medical practice (Anxiety subscale of the Physician's Reactions to Uncertainty Scale, PRUS-A), and their SDM self-efficacy (confidence in SDM skills). Patients (N = 466) completed measures of SDM (SDM Process scale) after a clinical visit. Bivariate regression analyses and multilevel regression analyses examined relationships.
resultsHigher UT was associated with greater physician age (p = .01) and years in practice (p = 0.015), but not sex or race. Higher UT was associated with greater SDM self-efficacy (p < 0.001), but not patient-reported SDM.
conclusionGreater age and practice experience predict greater physician UT, suggesting that UT might be improved through training, while UT is associated with greater confidence in SDM, suggesting that improving UT might improve SDM. However, UT was unassociated with patient-reported SDM, raising the need for further studies of these relationships. PRACTICE IMPLICATIONS: Developing and implementing training interventions aimed at increasing physician UT may be a promising way to promote SDM in clinical care.
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