Department of Bioethics and Health Professionalism, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Department of Paediatrics and Child Health, School of Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
BMC Health Serv Res. 2021 Jan 4;21(1):8. doi: 10.1186/s12913-020-06041-4.
Patients' participation in decision making regarding their treatment is defined in ethical, legal and human rights standards in the provision of care that concerns health providers and the entire community. This study was conducted to document experiences of patients and health care providers on shared decision making.
This study employed a phenomenological study design using in-depth interview technique. Study participants were diabetic patients visiting the clinic and healthcare providers working at Muhimbili National Hospital. Data was collected using the semi-structured interview guide with open-ended questions using an audio digital recorder. Content analysis method was used during analysis whereby categories were reached through the process of coding assisted by Nvivo 12 software.
Participants in this study expressed the role of shared decision-making in the care of patients with diabetes, with report of engagement of patients by health care providers in making treatment decisions. Participants reported no use of decision-making aids; however, health education tools were reported by participants to be used for educating patients. Limited time, patient beliefs and literacy were documented as barriers of effective engagement of patients in decision making by their healthcare providers.
Engagement of patients in decision-making was noted in this study as experienced by participants of this study. Time, patient beliefs and patient literacy were documented as barriers for patients engagement, therefore diabetic clinic at Muhimbili National Hospital need to devise mechanisms for ensuring patients involvement in treatment decisions.
在涉及医疗保健提供者和整个社区的护理提供方面，患者参与治疗决策的问题在伦理、法律和人权标准中都有明确定义。本研究旨在记录患者和医疗保健提供者在共同决策方面的经验。
本研究采用现象学研究设计，使用深度访谈技术。研究参与者为访问诊所的糖尿病患者和在穆希比利国家医院工作的医疗保健提供者。使用带有开放式问题的半结构化访谈指南，通过音频数字记录器收集数据。在分析过程中使用内容分析法，通过编码过程达到类别，由 Nvivo 12 软件辅助。
本研究中的参与者表达了共同决策在糖尿病患者护理中的作用，并报告了医疗保健提供者让患者参与治疗决策的情况。参与者报告没有使用决策辅助工具；然而，参与者报告使用健康教育工具来教育患者。研究记录了有限的时间、患者的信念和文化程度是医疗保健提供者有效让患者参与决策的障碍。
本研究记录了患者参与决策的情况，这是参与者的经验。时间、患者的信念和患者的文化程度被记录为患者参与的障碍，因此穆希比利国家医院的糖尿病诊所需要设计机制，确保患者参与治疗决策。
