Central to hospice care is the interdisciplinary team. Such health care teams are by definition democratic, self-managing teams. Fifty-two team members on seven hospice teams in three hospice organizations participated in the study. Hospice team members perceived the teams to be not as democratic as might be expected. One dimension of team democracy, perceived involvement of all members in team decisions, was positively and significantly associated with perceived team cohesiveness, productiveness, satisfaction with the team, satisfaction with team communication, and desire to stay with the team. Perception of team productiveness was a mediating variable between team involvement and job satisfaction. This study adds to empirical research on teamwork and participation in organizations by identifying the importance of a specific dimension of participation, involvement in decision making. The findings suggest the necessity of training team members in developing strategies to encourage involvement in decision making. However, practitioners are also cautioned against viewing involvement in team decision making as the answer to all teamwork ills.