Importance Unrealistic patient expectations of the benefits and harms of interventions can
influence decision making and may be contributing to increasing intervention uptake and …

Background Effective use of a patient decision aid (PtDA) can be affected by the user's
health literacy and the PtDA's characteristics. Systematic reviews of the relevant literature …

Relatively little is known about why some patients are reluctant to engage in a collaborative
discussion with physicians about their choices in health care. To explore this issue further …

Effectively engaging patients in their care is essential to improve health outcomes, improve
satisfaction with the care experience, reduce costs, and even benefit the clinician …

Importance Guidelines recommend individualizing screening mammography decisions for
women aged 75 years and older. However, little pragmatic guidance is available to help …

Importance Making rational decisions about screening requires information about its harms,
but high-quality evidence is often either not available or not used. One reason may be that …

Overdiagnosis occurs when a true abnormality is discovered, but detection of that
abnormality does not benefit the patient. It should be distinguished from misdiagnosis, in …

Background: Despite evidence that shared decision-making tools for treatment decisions
improve decision quality and patient engagement, they are not commonly employed in …

Background Patient involvement is required before patients' preferences can be reflected in
the medical care they receive. Furthermore, patients are a vital link between physicians' …

This review introduces the concept of culture-sensitive health communication. The basic
premise is that congruency between the recipient's cultural characteristics and the …