Abstract
BackgroundShared decision-making is the process where patients and clinicians work together to make healthcare choices. When given a choice, most patients want to participate in decision-making about their treatment. There is a perception amongst clinicians that socio-economically disadvantaged patients do not want to participate in shared decision-making. This study investigated if patients visiting the Family Medicine Outpatient Clinic at Kalafong Hospital in Gauteng, South Africa, would prefer shared decision-making.MethodsCross-sectional survey was performed using the Control Preference Scale. Patients visiting the Family Medicine Outpatient Clinic at Kalafong Hospital were purposively selected (n = 150) between February 2016 and May 2016.ResultsThe patients had a median age of 52 years and 53% did not finish grade 12 at school. Their median income was R3200.00 (South African Rand [ZAR]; less than $200.00) per month. Nearly half (46%) of the patients surveyed had an active preference for shared decision-making during a consultation. No demographic or disease factors had a statistically significant association with this preference.ConclusionThe perception that socio-economically disadvantaged patients do not want to actively participate in shared decision-making is incorrect according to this study. As it is not possible to predict which patients prefer an active approach to shared decision-making, it is recommended that clinicians should enquire whether they would prefer shared decision during consultations. Clinicians should also be equipped to practice this technique and an environment needs to be created that facilitates the process.
Highlights
Shared decision-making (SDM) is a process whereby clinicians and patients work together to make healthcare choices
The aim of this study was to describe the preferred level of SDM of South African patients using the Control Preference Scale, and to identify the demographic factors and disease types that play a role in their preferred level of SDM
No demographic of disease factors was significantly associated with preference for SDM, younger age and higher education levels were marginally associated with active preference for SDM
Summary
Shared decision-making (SDM) is a process whereby clinicians and patients work together to make healthcare choices. This process consists of three parts: (1) options are generated by both parties, (2) preferences are discussed and (3) decisions are made together.[1]. Shared decision-making is the process where patients and clinicians work together to make healthcare choices. Most patients want to participate in decision-making about their treatment. There is a perception amongst clinicians that socioeconomically disadvantaged patients do not want to participate in shared decision-making. This study investigated if patients visiting the Family Medicine Outpatient Clinic at Kalafong Hospital in Gauteng, South Africa, would prefer shared decision-making
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