Evidence map›Paper›PMID 34079233›Full record

ArticlePatient preference and adherence2021

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

Julius Nuwagaba, Ronald Olum, Ali Bananyiza, Godfrey Wekha, Meddy Rutayisire, Keneth Kato Agaba, Gaudencia Chekwech, Jalidah Nabukalu, Genevieve Gloria Nanyonjo, Robinah Namagembe and 4 more

Abstract read
In one paragraph

Article in Patient preference and adherence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
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  8. Hospital Managers' Decision-Making Puzzle.Iranian journal of public health · 2024
    Article
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  10. Article
  11. Article
  12. Article
  13. Article
  14. "Women's health (London, England)
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Julius NuwagabaSchool of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID 0000-0002-4637-2382
Ronald OlumSchool of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID 0000-0003-1289-0111
Ali BananyizaSchool of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Godfrey WekhaSchool of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Meddy RutayisireSchool of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Keneth Kato AgabaSchool of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Gaudencia ChekwechSchool of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Jalidah NabukaluSchool of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Genevieve Gloria NanyonjoSchool of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Robinah NamagembeSchool of Health Sciences, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID 0000-0002-9842-261X
Sylvia NantongoSchool of Health Sciences, College of Health Sciences, Makerere University, Kampala, Uganda.
Margaret LubwamaDepartment of Microbiology, School of Biomedical Science, College of Health Sciences, Makerere University, Kampala, Uganda.
Innocent BesigyeDepartment of Family Medicine, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Sarah KiguliDepartment of Pediatrics & Child Health, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.

Funding

Health Professions Education and training for strengthening the health system and services in UgandaR25TW011213 · FIC · MAKERERE UNIVERSITY COLLEGE OF HEALTH SCIENCES · PI KIGULI, SARAH · 2018 to 2022
$3.4M
Expanding independent research capacity in HIV-associated malignancies in UgandaD43TW009759 · FIC · FRED HUTCHINSON CANCER RESEARCH CENTER · PI OREM, JACKSON, PHIPPS, WARREN · 2014 to 2023
$3.0M
FIC NIH HHS D43 TW009759FIC NIH HHS R25 TW011213
6 · The paper itself

Abstract

purposePatient 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.

methodsA 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.

resultsA 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).

conclusionThe 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.

Indexed as

informationparticipationpatient involvementshared decision making

Identifiers

PMID34079233
PMCPMC8165652

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.