JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Int J Clin Pract. 2021 Aug;75(8):e14286. doi: 10.1111/ijcp.14286. Epub 2021 May 17.
Creating a treatment plan (TP) through shared decision-making (SDM) with healthcare professionals is of paramount importance for patients with multimorbidity (MM). This study aims to estimate the prevalence of SDM and TP in patients with MM and study the association between SDM/TP with patients' confidence to manage their diseases and hospitalization within the previous 1 year.
This cross-sectional study used an internationally recognized survey. A total of 1032 patients aged 60 or above with MM were recruited from a specialist outpatient clinic, general outpatient clinic (GOPC) and a geriatric day hospital. The proportion of patients reported to have SDM and TP was estimated. Associations between the presence of SDM/TP and patients' demographic data, the confidence level to manage their illnesses and hospitalization in previous 1 year were then studied using logistic regression.
The prevalence of SDM and TP was 35.8% and 82.1%, respectively. The presence of TP was associated with receiving healthcare from the same doctor or in the same facilities and being recruited from GOPC. The presence of SDM (OR = 1.352, P = .089) and TP (OR = 2.384, P < .001) was associated with enhanced confidence in dealing with diseases.
Most people with MM had TP in Hong Kong, but fewer patients had SDM.
Ways to promote SDM in HK are needed.
通过与医疗保健专业人员共同制定决策（SDM）来制定治疗计划（TP）对患有多种疾病（MM）的患者至关重要。本研究旨在估计 MM 患者中 SDM 和 TP 的流行情况，并研究 SDM/TP 与患者在过去 1 年内管理疾病和住院的信心之间的关系。
本横断面研究使用了国际认可的调查。从专家门诊、普通门诊（GOPC）和老年日间医院共招募了 1032 名年龄在 60 岁及以上的 MM 患者。估计报告具有 SDM 和 TP 的患者比例。然后使用逻辑回归研究 SDM/TP 的存在与患者的人口统计学数据、管理疾病的信心水平以及过去 1 年内的住院情况之间的关联。
SDM 和 TP 的流行率分别为 35.8%和 82.1%。TP 的存在与从同一位医生或在同一设施接受医疗保健以及从 GOPC 招募有关。SDM 的存在（OR=1.352，P=.089）和 TP 的存在（OR=2.384，P<.001）与处理疾病的信心增强有关。
在香港，大多数 MM 患者都有 TP，但 SDM 患者较少。
需要在香港推广 SDM 的方法。
