is the goal for patients to have more autonomy and self-determination when it comes to their care?
Without giving too much detail, I just wanted to comment on how big of a difference it makes when a health care professional makes a conscious effort to include you and your input in on the course of your treatment. Of course it comes down to professional expertise, but dealing with doctors who discussed options with me and let me have as much control as possible/appropriate over changes to medications, for example, has routinely been profoundly less stressful than situations in which I was given no choice nor say. I also respect that sometimes what I want may not be what's best for me/most effective, and because of my doctor's history of including me and educating me on every choice he/we made, I am comfortable trusting his judgement in such scenarios. I think that's what it comes down to: mutual communication, respect, and trust.