--- title: "Communicating with MDs re med decs: reluctance to disagree. | Sutter Health" description: "We sought to describe patients’ intentions to engage in shared decision making communication behaviors in response to a hypothetical preference-sensitive clinical scenario and to examine the effects of underlying patient beliefs on these behaviors." url: "https://www.sutterhealth.org/research/publications/comm-with-mds-re-med-decs-reluctant-to-disagree-1055312531" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Communicating with MDs re med decs: reluctance to disagree. # Communicating with physicians about medical decisions: a reluctance to disagree. Adams JR, Elwyn G, Légaré F, & Frosch DL. _Arch Intern Med. 2012 Aug 13;172(15):1184-6. doi: 10.1001/archinternmed.2012.2360._ 2012-08-13 ## Abstract Effective patient-physician communication is essential for shared decision making, considered by some to be the “pinnacle” of patient-centered care. Many health care decisions have multiple options and no correct choice. These are called preference-sensitive decisions, and the optimal decision is one that takes into account patient preferences and values in a collaborative process with the physician, known as shared decision making. We sought to describe patients’ intentions to engage in shared decision making communication behaviors in response to a hypothetical preference-sensitive clinical scenario and to examine the effects of underlying patient beliefs on these behaviors. [PubMed abstract](http://www.ncbi.nlm.nih.gov/pubmed/22777319) ## Research topics - [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22) - [Health Services](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Services%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [An exploratory mixed-methods crossover study comparing DVD- vs. Web-based patient decision support in three conditions: The importance of patient perspectives.](https://www.sutterhealth.org/research/publications/dvd-vs-web-based-pt-decision-spt-1055312529) Halley MC, Rendle KA, Gillespie KA, Stanley KM, Frosch DL. Health Expect. 18(6):2880-91. doi: 10.1111/hex.12273. Epub 2014 Sep 29. 2015 Dec 01 - Publication ### [Implementation of patient decision support interventions in primary care: the role of relational coordination.](https://www.sutterhealth.org/research/publications/pt-decision-spt-primary-care-relational-coord-1055312888) Tietbohl CK, Rendle KA, Halley MC, May SG, Lin GA, Frosch DL. Med Decis Making. 35(8):987-98. doi: 10.1177/0272989X15602886. Epub 2015 Aug 27. 2015 Nov 01 - Publication ### [Shared decision making in clinical medicine: past research and future directions.](https://www.sutterhealth.org/research/publications/shared-decision-making-in-clinical-medicine-1055312527) Frosch DL, Kaplan RM. Am J Prev Med. 17(4):285-94. 1999 Nov 01 - Publication ### ["Many miles to go …": a systematic review of the implementation of patient decision support interventions into routine clinical practice.](https://www.sutterhealth.org/research/publications/review-implementation-pt-dec-spt-interventions-1055312535) Elwyn G, Scholl I, Tietbohl C, Mann M, Edwards AG, Clay C, Légaré F, van der Weijden T, Lewis CL, Wexler RM, Frosch DL. BMC Med Inform Decis Mak. 13(suppl 2):S14. doi: 10.1186/1472-6947-13-S2-S14. Epub 2013 Nov 29. 2013 Jan 01 - Publication ### [Enhancing shared decision making through carefully designed interventions that target patient and provider behavior.](https://www.sutterhealth.org/research/publications/enhance-sdm-target-pt-and-provider-behavior-1055312395) Tai-Seale M, Elwyn G, Wilson CJ, Stults C, Dillon EC, Li M, Chuang J, Meehan A, Frosch DL. Send to: Health Aff (Millwood). 35(4):605-12. doi: 10.1377/hlthaff.2015.1398. 2016 Apr 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/comm-with-mds-re-med-decs-reluctant-to-disagree-1055312531#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Communicating with MDs re med decs: reluctance to disagree."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/comm-with-mds-re-med-decs-reluctant-to-disagree-1055312531#medicalscholarlyarticle","name":"Communicating with physicians about medical decisions: a reluctance to disagree.","headline":"Communicating with MDs re med decs: reluctance to disagree.","abstract":"Effective patient-physician communication is essential for shared decision making, considered by some to be the “pinnacle” of patient-centered care. Many health care decisions have multiple options and no correct choice. These are called preference-sensitive decisions, and the optimal decision is one that takes into account patient preferences and values in a collaborative process with the physician, known as shared decision making. We sought to describe patients’ intentions to engage in shared decision making communication behaviors in response to a hypothetical preference-sensitive clinical scenario and to examine the effects of underlying patient beliefs on these behaviors.","description":"We sought to describe patients’ intentions to engage in shared decision making communication behaviors in response to a hypothetical preference-sensitive clinical scenario and to examine the effects of underlying patient beliefs on these behaviors.","keywords":["Disease Management","Health Services"],"datePublished":"2012-08-13","url":"https://www.sutterhealth.org/research/publications/comm-with-mds-re-med-decs-reluctant-to-disagree-1055312531","inLanguage":"en-US","identifier":[{"@type":"PropertyValue","propertyID":"PMID","value":"22777319"},{"@type":"PropertyValue","propertyID":"DOI","value":"10.1001/archinternmed.2012.2360"}],"sameAs":["https://pubmed.ncbi.nlm.nih.gov/22777319/","https://doi.org/10.1001/archinternmed.2012.2360"],"isPartOf":{"@type":"Periodical","name":"Arch Intern Med"},"author":[{"@type":"Person","name":"Adams JR"},{"@type":"Person","name":"Elwyn G"},{"@type":"Person","name":"Légaré F"},{"@type":"Person","name":"Frosch DL"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"Disease Management","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Disease+Management%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Health Services","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Health+Services%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/comm-with-mds-re-med-decs-reluctant-to-disagree-1055312531","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/comm-with-mds-re-med-decs-reluctant-to-disagree-1055312531#breadcrumblist"}}} ```