{"title":"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","authors":"Sadik Abdulwehab , Yeshitila Belay , Frezer Kedir , Ebrahim Yimam , Admasu Belay","doi":"10.1016/j.cegh.2024.101792","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Result</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":"30 ","pages":"Article 101792"},"PeriodicalIF":2.3000,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424002896/pdfft?md5=3e530c124ad567b0f25bda4afddb9196&pid=1-s2.0-S2213398424002896-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Engagement in healthcare decision-making and associated factors among patients with chronic non-communicable diseases in Southwest Ethiopia, 2023\",\"authors\":\"Sadik Abdulwehab , Yeshitila Belay , Frezer Kedir , Ebrahim Yimam , Admasu Belay\",\"doi\":\"10.1016/j.cegh.2024.101792\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Result</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>\",\"PeriodicalId\":46404,\"journal\":{\"name\":\"Clinical Epidemiology and Global Health\",\"volume\":\"30 \",\"pages\":\"Article 101792\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-09-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2213398424002896/pdfft?md5=3e530c124ad567b0f25bda4afddb9196&pid=1-s2.0-S2213398424002896-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Epidemiology and Global Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2213398424002896\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Epidemiology and Global Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2213398424002896","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Engagement in healthcare decision-making and associated factors among patients with chronic non-communicable diseases in Southwest Ethiopia, 2023
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.
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.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
