Patients’ Involvement in Decision-Making During Healthcare in a Developing Country: A Cross- Sectional Study

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dc.contributor.authorNuwagaba, Julius
dc.contributor.authorOlum, Ronald
dc.contributor.authorBananyiza, Ali
dc.contributor.authorWekha, Godfrey
dc.contributor.authorRutayisire, Meddy
dc.contributor.authorKato Agaba, Keneth
dc.contributor.authorChekwech, Gaudencia
dc.contributor.authorNabukalu, Jalidah
dc.contributor.authorNanyonjo, Genevieve Gloria
dc.contributor.authorNamagembe, Robinah
dc.contributor.authorNantongo, Sylvia
dc.contributor.authorLubwama, Margaret
dc.contributor.authorBesigye, Innocent
dc.contributor.authorKiguli, Sarah
dc.date.accessioned2023-01-22T19:32:05Z
dc.date.available2023-01-22T19:32:05Z
dc.date.issued2021
dc.description.abstractPatient 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.en_US
dc.identifier.citationNuwagaba, 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.S302784en_US
dc.identifier.urihttps://doi.org/10.2147/PPA.S302784
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/7121
dc.language.isoenen_US
dc.publisherPatient preference and adherenceen_US
dc.subjectShared decision makingen_US
dc.subjectPatient involvementen_US
dc.subjectInformationen_US
dc.subjectParticipationen_US
dc.titlePatients’ Involvement in Decision-Making During Healthcare in a Developing Country: A Cross- Sectional Studyen_US
dc.typeArticleen_US
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