Browsing by Author "Rutayisire, Meddy"

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    Patients’ Involvement in Decision-Making During Healthcare in a Developing Country: A Cross- Sectional Study
    (Patient preference and adherence, 2021) Nuwagaba, Julius; Olum, Ronald; Bananyiza, Ali; Wekha, Godfrey; Rutayisire, Meddy; Kato Agaba, Keneth; Chekwech, Gaudencia; Nabukalu, Jalidah; Nanyonjo, Genevieve Gloria; Namagembe, Robinah; Nantongo, Sylvia; Lubwama, Margaret; Besigye, Innocent; Kiguli, Sarah
    Patient autonomy and participation have a significant impact on patient satisfaction and compliance with treatment. We aimed to establish and describe the level of shared decision-making (SDM) among the patients in a developing country. Uganda is a low resource country with a 2019 GDP of 35.17 billion US dollars. In some regions, over 60% of Ugandans live below the national poverty line and most of them depend on the underfunded health care system. Methods: A cross-sectional, quantitative study was carried out among the outpatients attending Kisenyi Health center IV, Kampala, Uganda. An interviewer-administered questionnaire with a 5-point Likert scale was used to assess patients’ SDM. All statistical analysis was performed using STATA 15 software. Results: A total of 326 patients participated in this study. Majority of the participants were females (n=241, 73.9%) and aged 18–35 years (n=218, 66.9%). Only 22 (7%) of the participants knew the name of their consulting doctor. Most of the participants, 84% were given enough time to narrate their symptoms. Overall, only 11.3% (n=37) of the participants had adequately participated in SDM. The overall mean score of participation in SDM was 2.7 (SD:0.8). Participants who knew the name of their consulting doctor were approximately 11 times more likely to participate in SDM (OR: 10.7, 95% CI: 4.2–27.0, P<0.0001). Conclusion: The majority of patients attending Kisenyi Health Center IV did not adequately participate in SDM. Continued medical education should be organized for healthcare professionals to promote SDM.