Patients’ Involvement in Decision-Making During Healthcare in a Developing Country: A Cross-Sectional Study
| Autor: | Keneth Kato Agaba, Sarah Kiguli, Genevieve Gloria Nanyonjo, Jalidah Nabukalu, Robinah Namagembe, Margaret Lubwama, Ali Bananyiza, Ronald Olum, Meddy Rutayisire, Gaudencia Chekwech, Julius Nuwagaba, Innocent Besigye, Godfrey Wekha, Sylvia Nantongo |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Low resource Cross-sectional study shared decision making Medicine (miscellaneous) Developing country information Likert scale 03 medical and health sciences 0302 clinical medicine Patient satisfaction Health care 050602 political science & public administration medicine participation Statistical analysis 030212 general & internal medicine Pharmacology Toxicology and Pharmaceutics (miscellaneous) Original Research patient involvement Poverty business.industry Health Policy 05 social sciences 0506 political science Patient Preference and Adherence Family medicine business Social Sciences (miscellaneous) |
| Zdroj: | Patient preference and adherence |
| ISSN: | 1177-889X |
| Popis: | Julius Nuwagaba,1 Ronald Olum,1 Ali Bananyiza,1 Godfrey Wekha,1 Meddy Rutayisire,1 Keneth Kato Agaba,1 Gaudencia Chekwech,1 Jalidah Nabukalu,1 Genevieve Gloria Nanyonjo,2 Robinah Namagembe,3 Sylvia Nantongo,3 Margaret Lubwama,4 Innocent Besigye,5 Sarah Kiguli6 1School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda; 2School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda; 3School of Health Sciences, College of Health Sciences, Makerere University, Kampala, Uganda; 4Department of Microbiology, School of Biomedical Science, College of Health Sciences, Makerere University, Kampala, Uganda; 5Department of Family Medicine, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda; 6Department of Pediatrics & Child Health, School of Medicine, College of Health Sciences, Makerere University, Kampala, UgandaCorrespondence: Julius NuwagabaSchool of Medicine, Makerere University College of Health Sciences, P.O. Box 7072, Kampala, UgandaTel +256782774038Email jnuwagaba8@gmail.comPurpose: 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.Keywords: shared decision making, patient involvement, information, participation |
| Databáze: | OpenAIRE |
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