A multinational study of patient preferences for how decisions are made in their care

Rachyl Pines, Nicola Sheeran, Liz Jones, Annika Pearson, Aron H. Pamoso, Yin (Blair) Jin, Maria Benedetti

Research output: Contribution to journalArticleResearchpeer-review

1 Citation (Scopus)


Inadequate consideration has been given to patient preferences for patient-centered care (PCC) across countries or cultures in our increasingly global society. We examined what 1,698 participants from the United States, Hong Kong, Philippines, and Australia described as important when making health care decisions. Analysis of frequencies following directed content coding of open-ended questions revealed differences in patients’ preferences for doctor behaviors and decision-making considerations across countries. Being well informed by their doctor emerged as most important in decision-making, especially in Hong Kong. Participants in Australia and the United States wanted their doctor to meet their emotional needs. The safety and efficacy of treatments were the most common consideration, especially for Hong Kong. Findings suggest that doctors should focus on information exchange and identifying patient concerns about efficacy, lifestyle impact, cost, and recovery speed. Rather than assuming patients prefer shared decision-making, doctors must assess patient’s decision control preferences.

Original languageEnglish
Pages (from-to)205-215
Number of pages11
JournalMedical Care Research and Review
Issue number2
Publication statusPublished - Apr 2023


  • culture
  • health care decision-making
  • informed decision-making
  • patient-centered care
  • shared decision-making

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