Patients' Involvement in Decision-Making During Healthcare in a Developing Country: A Cross-Sectional Study.
Patients' Involvement in Decision-Making During Healthcare in a Developing Country: A Cross-Sectional Study.
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DOI：
10.2147/ppa.s302784
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发表时间：
2021
影响因子：
2.2
通讯作者：
Kiguli S
中科院分区：
文献类型：
--
作者：
Nuwagaba J;Olum R;Bananyiza A;Wekha G;Rutayisire M;Agaba KK;Chekwech G;Nabukalu J;Nanyonjo GG;Namagembe R;Nantongo S;Lubwama M;Besigye I;Kiguli S
患者的自主性和参与性对患者的满意度和治疗依从性有显著影响。我们的目的是建立和描述在发展中国家的患者之间的共享决策（SDM）的水平。乌干达是一个低资源国家，2019年GDP为351.7亿美元。在一些地区，超过60%的乌干达人生活在国家贫困线以下，其中大多数人依赖资金不足的医疗保健系统。在乌干达坎帕拉Kisenyi第四健康中心的门诊患者中进行了一项横断面定量研究。采用5分制Likert量表进行访谈问卷调查，以评估患者的SDM。所有统计学分析均使用STATA 15软件进行。共有326名患者参加了这项研究。大多数参与者为女性（n=241，73.9%），年龄为18-35岁（n=218，66.9%）。只有22人（7%）知道他们的咨询医生的名字。大多数参与者，84%，有足够的时间来叙述他们的症状。总体而言，只有11.3%（n=37）的参与者充分参与了SDM。参与SDM的总体平均得分为2.7（SD：0.8）。知道咨询医生姓名的参与者参加SDM的可能性约为11倍（OR：10.7，95%CI：4.2-27.0，P<0.0001）。Kisenyi第四健康中心的大多数患者没有充分参与SDM。应组织医疗保健专业人员继续医学教育，以促进SDM。
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. 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. 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). 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.