Association of Patient Preferences for Participation in Decision Making With Length of Stay and Costs Among Hospitalized Patients

iPad use at the bedside: a tool for engaging patients in care processes during ward rounds?

“…People vary considerably in their preferences for participating in decision making . For example, in a survey of 2765 US patients, 96% of respondents preferred to be offered choices and asked for their opinion, while in a recent survey of 21 754 US patients, 71.1% preferred to leave decision making to their physician . Although a small proportion of patients in our study (12%) desired greater involvement in their care, the majority felt engaged in their care processes.…”

Health Literacy, Numeracy, and Other Characteristics Associated With Hospitalized Patients' Preferences for Involvement in Decision Making

“…By comparison, a preference for passivity during decision making is associated with worse outcomes among primary care patients, and with anxiety and depression among family members of intensive care unit patients (Anderson, Arnold, Angus, & Bryce, 2009; Brody et al, 1989; Deber, 1994). Despite more than a decade of study, research describing decisional preferences has been limited in the hospital setting, where patient preferences may influence use of costly resources (Tak, Ruhnke, & Meltzer, 2013). Patients hospitalized with acute coronary syndromes (ACS) or heart failure represent an important population for study, accounting for more than 2 million hospitalizations annually in the United States (Go et al, 2014).…”

What Do High-Risk Patients Value? Perspectives on a Care Management Program

“…Interestingly, a previous study found that hospitalized patients who preferred to defer medical decisions had shorter lengths of stay and lower hospitalization costs. 33 Finally, while our study was underpowered with respect to Medicaid enrollment, these patients were disproportionately likely to know their care manager and, in bivariate analysis, had statistically significant greater odds of reporting more helpful interactions, suggesting that these patients may particularly benefit from care management. This is particularly notable given the recent emergence of Medicaid Accountable Care Organization pilot programs in Massachusetts and elsewhere.…”