@article{TEXTUAL,
      recid = {11147},
      author = {Guiahi, Maryam and Helbin, Patricia E. and Teal, Stephanie  B. and Stulberg, Debra and Sheeder, Jeanelle},
      title = {Patient Views on Religious Institutional Health Care},
      journal = {JAMA Network Open},
      address = {2019-12-27},
      number = {TEXTUAL},
      abstract = {&lt;p&gt;Importance: Federal protections allow health facilities  to limit options to patients on the basis of religious  values. Little is known about whether US adults consider  religious affiliation when selecting facilities and whether  they agree with such limitations.&lt;/p&gt; &lt;p&gt;Objective: To  understand patient views on religious institutional  care.&lt;/p&gt; &lt;p&gt;Design, Setting, and Participants: This is a  population-based, cross-sectional survey study of US adults  recruited from the probability-based AmeriSpeak Omnibus  panel available from NORC (formerly the National Opinion  Research Center) at the University of Chicago. Surveys were  administered via internet or telephone during a 3-day  fielding period in November 2017. Data analysis was  performed from January 2018 to October 2019.&lt;/p&gt;  &lt;p&gt;Exposures: Participant characteristics, including  religiosity measures.&lt;/p&gt; &lt;p&gt;Main Outcomes and Measures:  Whether patients consider religious affiliation when  selecting a health care facility and their views on whether  an institution's religious values should take precedence  over their health choices. Responses were compared by  gender. When gender differences existed, regression models  were performed, and thematic content analysis was applied  to open-ended responses.&lt;/p&gt; &lt;p&gt;Results: There were 1446  participants (745 [51.5%] male; mean [SD] age, 46 [17]  years), for a survey completion rate of 24.5% and weighted  cumulative response weight of 7.3%. Most respondents  (62.6%) were white, and the most common religion was  Protestant (28.2%). When specifically asked, only 6.4%  reported that they considered religious affiliation when  selecting a health care facility; most participants (71.3%)  reported when selecting a health care facility that they  did not care whether it is religiously affiliated, 13.4%  preferred a religious affiliation, and 15.3% preferred no  religious affiliation. There were no gender differences.  Most participants (71.4%) believed that their health  choices should take priority over an institution's  religious affiliation in services offered, and this was  more common for women than for men (74.9% vs 68.1%;  difference, 6.8%; 95% CI, 5.6%-8.2%; P = .005), who more  commonly endorsed concerns for personal choice and autonomy  over one's own body.&lt;/p&gt; &lt;p&gt;Conclusions and Relevance: This  study suggests that most patients value their personal  choices, yet do not consider an institution's religious  affiliation when choosing their source of health care.  Women placed greater emphasis on their autonomy in  comparison with an institution's right to invoke religious  restrictions to care. Given the growth in ownership of  health care facilities by religious entities in the United  States and increasing attention to conscientious  objections, these findings point to a need for advocacy and  legislation that effectively balances protections for  religious institutions with protections for patients.&lt;/p&gt;},
      url = {http://knowledge.uchicago.edu/record/11147},
}