When imaging data contradict a patient's self-report, how should clinicians proceed?

Abstract

Following a case in which a patient's self-report contradicts imaging data, this commentary considers how patient-clinician communication, including an assessment of and accommodations for maximizing health literacy and shared decision making, can elucidate a patient's values and preferences. Patients' perceptions of how much input they have in making their health decisions influences the patient-clinician therapeutic alliance and outcomes and can support patients' physical and emotional well-being.