Patients’ Involvement in Decision-Making During Healthcare in a Developing Country: A Cross- Sectional Study
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Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Patient preference and adherence
Abstract
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.
Description
Keywords
Shared decision making, Patient involvement, Information, Participation
Citation
Nuwagaba, J., Olum, R., Bananyiza, A., Wekha, G., Rutayisire, M., Agaba, K. K., ... & Kiguli, S. (2021). Patients’ involvement in decision-making during healthcare in a developing country: A cross-sectional study. Patient preference and adherence, 1133-1140. https://doi.org/10.2147/PPA.S302784