A national study explores public preferences for participation in clinical decision-making, revealing that not all patients desire the same level of involvement. The study, based on a representative sample of 2,765 U.S. adults, found that 96% preferred to be offered choices and asked their opinions, while 52% preferred to leave final decisions to their physicians and 44% relied on physicians for medical knowledge. Preferences varied by demographics, with women, more educated, and healthier individuals more likely to prefer active participation. African-American and Hispanic respondents were more likely to prefer physician-directed decisions. Preferences for active participation increased up to age 45 but declined thereafter. The study emphasizes the importance of assessing individual patient preferences to tailor care appropriately, as not all patients wish to be involved in decision-making. Physicians should recognize these differences and adjust their approach to better meet patient needs. The findings highlight the need for healthcare providers to understand and respect individual preferences in decision-making processes.A national study explores public preferences for participation in clinical decision-making, revealing that not all patients desire the same level of involvement. The study, based on a representative sample of 2,765 U.S. adults, found that 96% preferred to be offered choices and asked their opinions, while 52% preferred to leave final decisions to their physicians and 44% relied on physicians for medical knowledge. Preferences varied by demographics, with women, more educated, and healthier individuals more likely to prefer active participation. African-American and Hispanic respondents were more likely to prefer physician-directed decisions. Preferences for active participation increased up to age 45 but declined thereafter. The study emphasizes the importance of assessing individual patient preferences to tailor care appropriately, as not all patients wish to be involved in decision-making. Physicians should recognize these differences and adjust their approach to better meet patient needs. The findings highlight the need for healthcare providers to understand and respect individual preferences in decision-making processes.