Evidence map›Paper›PMID 42129975›Full record

ArticleBMJ open2026

Experiences, perceptions and preferences regarding medical decision-making in South Korea: a nationwide cross-sectional survey of the general public.

Min Ji Kim, Sang Ho Yoo

Abstract read
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Min Ji KimDepartment of Medical Humanities and Ethics, Hanyang University College of Medicine, Seongdong-gu, Seoul, Korea (the Republic of).ORCID http://orcid.org/0000-0002-8444-4025
Sang Ho YooDepartment of Medical Humanities and Ethics, Hanyang University College of Medicine, Seongdong-gu, Seoul, Korea (the Republic of) karmaboy@hanyang.ac.kr.ORCID http://orcid.org/0000-0001-9030-1365

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesActive patient involvement is a core principle of patient-centred care, yet public experiences of medical decision-making in non-Western settings remain underexamined. In South Korea, nationwide evidence on how adults experience, perceive and prefer medical decision-making is limited. This study, therefore, examined Korean adults' experiences, perceptions and preferences regarding medical decision-making.

designA cross-sectional study was conducted between March and April 2025 using online data collection for adults aged 19-59 years and face-to-face interviews for those aged 60 years or older.

settingThis nationwide survey was conducted in South Korea.

participantsA total of 1081 Korean adults were recruited using proportional quotas for sex, age group and region. After excluding withdrawals and invalid responses, 1000 were included (response rate 92.5%).

resultsOverall, 70.4% of respondents reported at least one significant health-related decision in the past 2 years. Although 34.1% reported making their most recent decision independently, a larger proportion preferred collaborative decision-making involving clinicians and/or family members. The clinician's explanation was the most influential factor (77.4%). Preferences for primary decision-maker varied by clinical context: patient-led decisions were favoured for low-risk interventions such as vaccination (78.5%), whereas physician involvement was preferred for life-threatening illness (86.2%). Communication ratings were highest for presentation of treatment options (mean score 3.56±0.79 on a 5-point scale) and lowest for explanation of potential treatment risks (mean score 3.20±0.89). Participants satisfied with decision outcomes reported higher communication quality (p<0.001), while those reporting neutral satisfaction (37.1%) resembled dissatisfied participants (4.1%).

conclusionsMedical decision-making was common, but respondents' experiences did not always match their preference for collaborative involvement. The findings suggest that strengthening patient-centred care in South Korea will require not only improvements in patient-clinician communication, but also attention to family involvement and structural conditions such as limited consultation time and current reimbursement arrangements.

Indexed as

Decision MakingPatient ParticipationPatient PreferenceAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedPatient-Centered CarePhysician-Patient RelationsRepublic of KoreaSurveys and QuestionnairesYoung AdultClinical Decision-MakingPatient-Centered CarePatient ParticipationSurveys and Questionnaires

Identifiers

PMID42129975
PMCPMC13182421

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LicenceCC BY-NC
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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.