Do patients want physicians to inquire about their spiritual or religious beliefs if they become gravely ill?

Background: Recognizing that many Americans draw on religious or spiritual beliefs when confronted by serious illness, some medical educators have rec ommended that physicians routinely ask about spirituality or religion when conducting a medical history. The most appropriate wording for such an inqu iry remains unknown. Objective: To examine patient acceptance of including the following questio n in the medical history of ambulatory outpatients: "Do you have spiritual or religious beliefs that would influence your medical decisions if you bec ome gravely ill?" Methods: Self-administered questionnaires were completed by 177 ambulatory adult patients visiting a pulmonary faculty office practice at a university teaching hospital in 1997 (83% response rate). Results: Fifty-one percent of the study patients described themselves as re ligious and 90% believe that prayer may sometimes influence recovery from a n illness. Forty-five percent reported that religious beliefs would influen ce their medical decisions if they become gravely ill. Ninety-four percent of individuals with such beliefs agreed or strongly agreed that physicians should ask them whether they have such beliefs if they become gravely ill. Forty-five percent of the respondents who denied having such beliefs also a greed that physicians should ask about them. Altogether, two thirds of the respondents indicated that they would welcome the study question in a medic al history, whereas 16% reported that they would not. Only 15% of the study group recalled having been asked whether spiritual or religious beliefs wo uld influence their medical decisions. Conclusion: Many but not all patients surveyed in a pulmonary outpatient pr actice welcome a carefully worded inquiry about their spiritual or religiou s beliefs in the event that they become gravely ill.