Department of Public Health, University of Southern Denmark, Odense C, Denmark.
Department of Clinical Research (OPEN), University of Southern Denmark, Odense C, Denmark.
Scand J Prim Health Care. 2022 Jun;40(2):167-172. doi: 10.1080/02813432.2022.2069700. Epub 2022 Apr 28.
We aimed to assess patient involvement in terms of shared decision-making in general practice from the perspectives of patients with chronic obstructive pulmonary disease (COPD) or type 2 diabetes (T2DM) (or both).
A cross-sectional survey using the 9-item Shared Decision-Making Questionnaire (SDM-Q-9) ranging from 0 to 5 (best).
Patients diagnosed with either T2DM and/or COPD were asked to focus on their most recent consultation in general practice concerning their T2DM or lung disease. Responders were approached through the Danish Diabetes Association and Danish Lung Association.
The sample included 468 responders. Mean scores for the total sample were between 3.3 and 4.2. The overall mean score for all items was 3.7. The highest overall mean score was for patients with T2DM, whereas the lowest overall mean score was for patients having both T2DM and COPD. Furthermore, we observed a slightly lower overall mean score for women compared to men and for those younger than 65 years compared to those aged 65 years or older.
Overall, patients are involved in shared decision-making in general practice Minor nuances were found because patients with COPD were less involved in shared decision-making compared to patients with T2DM. Similarly, younger patients and women were less involved than older patients and men.
我们旨在从慢性阻塞性肺疾病（COPD）或 2 型糖尿病（T2DM）患者（或两者兼有）的角度评估一般实践中的患者参与度，即共同决策。
使用 9 项共享决策问卷调查（SDM-Q-9）进行的横断面调查，范围从 0 到 5（最佳）。
诊断患有 T2DM 和/或 COPD 的患者被要求关注他们在一般实践中关于 T2DM 或肺部疾病的最近一次就诊。应答者通过丹麦糖尿病协会和丹麦肺协会接触。
该样本包括 468 名应答者。总样本的平均得分为 3.3 到 4.2 之间。所有项目的总体平均得分为 3.7。总体平均得分最高的是患有 T2DM 的患者，而总体平均得分最低的是同时患有 T2DM 和 COPD 的患者。此外，我们观察到女性的总体平均得分略低于男性，而年龄在 65 岁以下的患者的总体平均得分低于 65 岁或以上的患者。
总体而言，患者在一般实践中参与共同决策。由于 COPD 患者的参与程度低于 T2DM 患者，因此存在一些细微差别。同样，年轻患者和女性的参与程度低于老年患者和男性。
