Julius Nuwagaba1, Ronald Olum1, Ali Bananyiza1, Godfrey Wekha1, Meddy Rutayisire1, Keneth Kato Agaba1, Gaudencia Chekwech1, Jalidah Nabukalu1, Genevieve Gloria Nanyonjo2, Robinah Namagembe3, Sylvia Nantongo3, Margaret Lubwama4, Innocent Besigye5, Sarah Kiguli6. 1. School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda. 2. School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda. 3. School of Health Sciences, College of Health Sciences, Makerere University, Kampala, Uganda. 4. Department of Microbiology, School of Biomedical Science, College of Health Sciences, Makerere University, Kampala, Uganda. 5. Department of Family Medicine, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda. 6. Department of Pediatrics & Child Health, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Abstract
PURPOSE: 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.
PURPOSE: 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.
Authors: Roland Grad; France Légaré; Neil R Bell; James A Dickinson; Harminder Singh; Ainsley Elizabeth Moore; Danielle Kasperavicius; Kaylyn L Kretschmer Journal: Can Fam Physician Date: 2017-09 Impact factor: 3.275
Authors: Sophie Veilleux; Isabelle Noiseux; Nathalie Lachapelle; Rita Kohen; Luc Vachon; Brian White Guay; Alain Bitton; John D Rioux Journal: Patient Educ Couns Date: 2017-07-25