Kusankha Pamodzi: Health Care Decision-Making Preferences Among Patients with Cancer in Malawi.

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES Palliative medicine reports Pub Date : 2023-01-01 DOI:10.1089/pmr.2023.0002

Alyssa E Tilly, April Evans, Jane S Chen, Agness Manda, Ande Salima, Samuel Bingo, Maria Chikasema, Katherine D Westmoreland

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Abstract

Background: Oncology teams are encouraged to include patient preferences and goals of care in determining appropriate treatment courses. There are no existing data from Malawi exploring decision-making preferences among cancer patients.

Methods: In the oncology clinic in Lilongwe, Malawi, 50 patients were surveyed for decision making.

Results: Most participants (70%, n = 35) preferred to engage in shared decision making regarding cancer treatment. About half (52%, n = 24) did not feel that their medical team involved them in decision making and 64% (n = 32) felt that they were never or only sometimes listened to by the medical team. Nearly all (94%, n = 47) preferred to have their medical team inform them how likely treatments are to lead to cure.

Conclusions: Shared decision making was the preferred mode of treatment decision making by the majority of the surveyed cancer patients in Malawi. Cancer patients in Malawi may have similar preferences to cancer patients in other low-resource settings regarding decision making and communication.

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Kusankha Pamodzi:马拉维癌症患者的医疗决策偏好。

背景:在确定适当的治疗方案时，鼓励肿瘤团队考虑患者的偏好和护理目标。目前还没有来自马拉维的关于癌症患者决策偏好的数据。方法:在马拉维利隆圭的肿瘤诊所，对50例患者进行调查，以便做出决策。结果:大多数参与者(70%，n = 35)倾向于参与癌症治疗的共同决策。大约一半(52%，n = 24)的人认为他们的医疗团队没有让他们参与决策，64% (n = 32)的人认为他们从未或只是有时被医疗团队倾听。几乎所有人(94%，n = 47)更喜欢让他们的医疗团队告诉他们治疗导致治愈的可能性。结论:共同决策是马拉维大多数接受调查的癌症患者首选的治疗决策模式。马拉维的癌症患者在决策和沟通方面可能与其他低资源环境中的癌症患者有相似的偏好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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