{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T22:47:21Z","timestamp":1793400441492,"version":"4.5.0"},"reference-count":58,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2007,6,30]],"date-time":"2007-06-30T00:00:00Z","timestamp":1183161600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2007,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Background\u2002<\/jats:bold> What role do people want to play in treatment decision\u2010making (DM)?<\/jats:p><jats:p><jats:bold>Objective\u2002<\/jats:bold> Examine the role patients indicate they would prefer in making treatment decisions across multiple clinical settings in Ontario, Canada.<\/jats:p><jats:p><jats:bold>Design\u2002<\/jats:bold> Secondary analysis of a series of survey\/interview\u2010based studies measuring preferred role, conducted in 12 different populations.<\/jats:p><jats:p><jats:bold>Setting and participants\u2002<\/jats:bold> Respondents were outpatients, largely but not entirely attending outpatient clinics in large teaching hospitals in urban settings in the Province of Ontario, Canada. The subgroups and sample sizes were: breast cancer (202), prostate disease (202), fractures (202), continence (46), orthopaedic (111), rheumatology (56), multiple sclerosis (22), HIV\/AIDS (431), infertility (454), benign prostatic hyperplasia (678) and cardiac disease (300), plus 50 healthy nursing students (for scale validation).<\/jats:p><jats:p><jats:bold>Measurements\u2002<\/jats:bold> All studies categorized preferred role using the Problem\u2010Solving Decision\u2010Making (PSDM) scale with one or both of the Current Health condition and Chest Pain vignettes.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Few respondents preferred an autonomous role (1.2% for the current health condition vignette and 0.7% for the chest pain vignette); most preferred shared DM (77.8% current health condition; 65.1% chest pain) or a passive role (20.3% current health condition; 34.1% chest pain). Familiarity with a clinical condition increases desire for a shared (as opposed to passive) role. Preferences for passive vs. shared roles varied across settings; older and less educated individuals were most likely to prefer passive roles.<\/jats:p><jats:p><jats:bold>Conclusions\u2002<\/jats:bold> Despite consumerist rhetoric among some bioethicists, very few respondents wish an autonomous role. Most wish to share DM with their providers.<\/jats:p>","DOI":"10.1111\/j.1369-7625.2007.00441.x","type":"journal-article","created":{"date-parts":[[2007,6,30]],"date-time":"2007-06-30T13:12:52Z","timestamp":1183209172000},"page":"248-258","source":"Crossref","is-referenced-by-count":239,"title":["Do people want to be autonomous patients? 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