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

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 billi...

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Bibliographic Details
Published in:Patient preference and adherence 2021-01, Vol.15, p.1133-1140
Main Authors: Nuwagaba, Julius, Olum, Ronald, Bananyiza, Ali, Wekha, Godfrey, Rutayisire, Meddy, Agaba, Keneth Kato, Chekwech, Gaudencia, Nabukalu, Jalidah, Nanyonjo, Genevieve Gloria, Namagembe, Robinah, Nantongo, Sylvia, Lubwama, Margaret, Besigye, Innocent, Kiguli, Sarah
Format: Article
Language:English
Subjects:
Central business districts
Clinical decision making
Cross-sectional studies
Data collection
Decision making
Developing countries
Emergency medical care
Ethics
Health care
Health facilities
LDCs
Likert scale
Maternal & child health
Medical personnel and patient
Original Research
Outpatients
Participation
Patient compliance
Patient satisfaction
Patient-centered care
Population
Questionnaires
Sociodemographics
Surveys
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Summary: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
ISSN:1177-889X
1177-889X
DOI:10.2147/PPA.S302784