Exploring Patient Preferences Related to Shared Decision-Making in Chronic Disease Management.

Autor:	Alanzi TM; Department of Health Information Management and Technology, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, SAU., Alanzi N; Clinical Laboratory Sciences, Jouf University, Jouf, SAU., Majrabi A; Clinical Pharmacy, Brighton University, Brighton, GBR., Alhajri AS; College of Agricultural and Food Sciences, King Faisal University, Al Hofuf, SAU., Alzahrani L; Faculty of Medicine, King Abdulaziz University, Jeddah, SAU., Alqahtani N; College of Pharmacy, King Khalid University, Abha, SAU., Alqadhibi A; Expanded Programme on Immunization (EPI), Ministry of Health, Riyadh, SAU., Alenazi S; ‏Transfusion Medicine Services Department, King Abdulaziz Medical City, Riyadh, SAU., Alsaedi H; Medicine, Taibah University, Madinah, SAU., Alghamdi E; Medicine, Al Qara General Hospital, Al Baha, SAU., Bin Hamad N; College of Medicine, King Saud University, Riyadh, SAU., Habib W; Medicine, King Fahad University Hospital, Al Khobar, SAU., Alharthi NH; Public Health College, Saudi Electronic University, Dammam, SAU., Alharbi M; Madinah Health Cluster, Ministry of Health, Madinah, SAU., Alyahya NN; College of Medicine, Imam Muhammad Bin Saud Islamic University, Riyadh, SAU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Sep 25; Vol. 16 (9), pp. e70214. Date of Electronic Publication: 2024 Sep 25 (Print Publication: 2024).
DOI:	10.7759/cureus.70214
Abstrakt:	Background and objective Shared decision-making (SDM) in healthcare has transitioned from a paternalistic model to a collaborative approach, particularly significant in chronic disease management. This shift focuses on aligning healthcare decisions with patient preferences and values, thereby enhancing patient engagement and treatment adherence. However, patient preferences regarding involvement in SDM vary widely, influenced by demographic, disease-specific, psychological, cultural, and social factors. This study aimed to explore patient preferences related to SDM in chronic disease management in Saudi Arabia, by assessing attitudes toward SDM, the impact of decision aids, and the role of clinician communication in influencing these preferences. Methods A cross-sectional survey design was employed, involving 409 adult outpatients with chronic diseases attending four public hospitals in Saudi Arabia. Participants were selected using purposive and convenience sampling. The survey, translated into Arabic, collected demographic data and information on preferences and experiences in decision-making, communication, and information sharing. The data were analyzed using SPSS Statistics (IBM Corp., Armonk, NY) to identify patterns and correlations. Results Key findings indicated a strong preference among the participants for involvement in treatment decisions (n=303, 74.2%) and clear communication using layman's terms (n=338, 82.6%). Major barriers to active participation in SDM included lack of time during appointments (n=275, 67.2%), difficulty understanding medical terminology (n=220, 53.9%), and feeling intimidated to ask questions (297, 72.6%). Comfort in SDM was highest in the age group of 41-50 years [mean=4.16, standard deviation (SD)=28.44; F=2.3287, p=0.0739]. Patient satisfaction was significantly higher in the age group of 18-30 years (mean=3.42, SD=1.09; F=3.0503, p=0.0284). Conclusions Our findings highlight the need for incorporating patient preferences into chronic disease management strategies to enhance engagement and satisfaction. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Research Ethics Committee at Imam Abdulrahman Bin Faisal University issued approval 8. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Alanzi et al.)
Databáze:	MEDLINE
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