| Clinical scenario | No. (%) of responsesn = 44 | χ2 (df) | p value | |||
|---|---|---|---|---|---|---|
| Explicit high-value care plan | Implicit high-value care plan | Low-value care plan | ||||
| Scenario 1 (patient from senior care facility presenting to hospital with delirium) | ||||||
| Family member request for urinalysis/culture | 7 (15.9) | 28 (63.6) | 9 (20.4) | 18.32 (2) | < 0.01 | |
| Family member request for head CT | 29 (65.9) | 15 (34.1) | 0 (0) | 4.46 (1) | < 0.05 | |
| Family member request for hospital admission | 7 (15.9) | 35 (79.5) | 2 (4.5) | 43.14 (2) | < 0.01 | |
| Scenario 2 (patient pre- and postelective cholecystectomy) | ||||||
| Patient request for exercise stress test | 15 (34.1) | 23 (52.3) | 6 (13.6) | 9.86 (2) | < 0.01 | |
| Patient request for treatment of asymptomatic bacteriura | 16 (36.4) | 25 (56.8) | 3 (6.8) | 16.68 (2) | < 0.01 | |
| Patient request for head CT scan | 11 (25.0) | 32 (72.7) | 1 (2.3) | 34.14 (2) | < 0.01 | |
| Scenario 3 (patient with end-stage lung cancer with an acute massive pulmonary embolism and prior expressed wishes for comfort-oriented care) | ||||||
| Family request for a full resuscitation order | 4 (9.1) | 31 (70.4) | 9 (20.4) | 28.14 (2) | < 0.01 | |
| Family request for an ICU admission | 11 (25.0) | 33 (75.0) | 0 (0) | 11 (1) | < 0.01 | |
| Family request for therapeutic anticoagulation | 1 (2.3) | 38 (86.4) | 5 (11.4) | 56.23 (2) | < 0.01 | |
| Overall mean % | 26 | 66 | 9 | |||
Note: CT = computed tomography, ICU = intensive care unit.