Engagement in healthcare decision-making and associated factors among patients with chronic non-communicable diseases in Southwest Ethiopia, 2023

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Clinical Epidemiology and Global Health Pub Date : 2024-09-18 DOI:10.1016/j.cegh.2024.101792

Sadik Abdulwehab , Yeshitila Belay , Frezer Kedir , Ebrahim Yimam , Admasu Belay

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Abstract

Background

Chronic Non-communicable diseases require lifelong care involving patients, families, a team of their care providers, and significant others. Additionally, engaging patients in their healthcare decision-making is crucial for achieving better clinical outcomes. This study aimed to assess patients' engagement in healthcare decision-making and associated factors among adults with chronic non-communicable diseases in Southwest Ethiopia.

Methods

A cross-sectional study design was used among 422 participants at the public hospital of Jimma town. Study participants were consecutively recruited from May 01 to June 01, 2023. A structured Patient Activation Measure was used to measure patient engagement in healthcare decision-making. Descriptive statistics and binary logistic regression analysis describe the association between dependent and independent variables.

Result

A total of 422 patients with chronic diseases participated in the study yielding a response rate of 99.3 %. Slightly greater than one-third (35.8 % (95 % CI: 31.19, 40.41)) of participants in The study area had a high engagement in healthcare decision-making. Residence (Odd ratio 0.27; 95 % confidence interval 0.137–0.534), educational level(Odd ratio 0.168; 95 % confidence interval 0.064–0.443), access to information materials(Odd ratio 0.226; 95 % confidence interval 0.112–0.458), duration(Odd ratio 3.864; 95 % confidence interval 2.083–7.169), health literacy(Odd ratio 1.192; 95 % confidence interval 1.111–1.28), and preference for autonomy(Odd ratio 1.097; 95 % confidence interval 1.058–1.136) were factors statistically associated with patient engagement in healthcare decision-making.

Conclusion

One-third of study participants reported high engagement in healthcare decision-making. Thus, healthcare providers should pay attention to patients with low educational levels, who do not have access to information materials, low health literacy levels, and their preference for autonomy to engage them in their healthcare decision-making.

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2023 年埃塞俄比亚西南部慢性非传染性疾病患者参与医疗决策的情况及相关因素

背景慢性非传染性疾病需要患者、家属、医疗服务提供者团队和重要他人的终生护理。此外，让患者参与医疗决策对于取得更好的临床效果至关重要。本研究旨在评估埃塞俄比亚西南部患有慢性非传染性疾病的成年人中，患者参与医疗决策的情况及相关因素。研究方法采用横断面研究设计，在吉马镇公立医院的 422 名参与者中进行研究。研究参与者于 2023 年 5 月 1 日至 6 月 1 日连续招募。采用结构化的 "患者激活测量法"（Patient Activation Measure）来测量患者在医疗决策中的参与度。描述性统计和二元逻辑回归分析描述了因变量和自变量之间的关联。结果共有 422 名慢性病患者参与了研究，回复率为 99.3%。在研究地区，略高于三分之一（35.8% (95 % CI: 31.19, 40.41)）的参与者高度参与医疗决策。居住地（奇数比为 0.27；95% 置信区间为 0.137-0.534）、受教育程度（奇数比为 0.168；95% 置信区间为 0.064-0.443）、获取信息资料（奇数比为 0.226；95% 置信区间为 0.112-0.458）、持续时间（奇数比为 3.864；95% 置信区间为 2.083-7.169）、健康知识（奇数比为 1.192；95 % 置信区间 1.111-1.28）和自主偏好（奇数比 1.097；95 % 置信区间 1.058-1.136）是与患者参与医疗决策有统计学关联的因素。因此，医疗服务提供者应关注教育水平低、无法获得信息资料、健康知识水平低以及偏好自主的患者，让他们参与医疗决策。

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.