Shared decision-making between health care providers and patients at a tertiary hospital diabetic Clinic in Tanzania
Abstract Background 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 c...
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| Format: | Article |
| Language: | English |
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BMC
2021-01-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-020-06041-4 |
| _version_ | 1818561485522075648 |
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| author | Osward Vedasto Baraka Morris Francis F. Furia |
| author_facet | Osward Vedasto Baraka Morris Francis F. Furia |
| author_sort | Osward Vedasto |
| collection | DOAJ |
| description | Abstract Background 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. Methods 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. Results 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. Conclusion 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. |
| first_indexed | 2024-12-14T00:51:28Z |
| format | Article |
| id | doaj.art-67a5d4b0ecc047ceafeb35515cf2f4ae |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-14T00:51:28Z |
| publishDate | 2021-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-67a5d4b0ecc047ceafeb35515cf2f4ae2022-12-21T23:23:49ZengBMCBMC Health Services Research1472-69632021-01-012111710.1186/s12913-020-06041-4Shared decision-making between health care providers and patients at a tertiary hospital diabetic Clinic in TanzaniaOsward Vedasto0Baraka Morris1Francis F. Furia2Department of Bioethics and Health Professionalism, School of Public Health and Social Sciences, Muhimbili University of Health and Allied SciencesDepartment of Bioethics and Health Professionalism, School of Public Health and Social Sciences, Muhimbili University of Health and Allied SciencesDepartment of Paediatrics and Child Health, School of Medicine, Muhimbili University of Health and Allied SciencesAbstract Background 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. Methods 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. Results 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. Conclusion 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.https://doi.org/10.1186/s12913-020-06041-4Shared decision-makingDiabetic patientsMuhimbili national hospitalDecision aids |
| spellingShingle | Osward Vedasto Baraka Morris Francis F. Furia Shared decision-making between health care providers and patients at a tertiary hospital diabetic Clinic in Tanzania BMC Health Services Research Shared decision-making Diabetic patients Muhimbili national hospital Decision aids |
| title | Shared decision-making between health care providers and patients at a tertiary hospital diabetic Clinic in Tanzania |
| title_full | Shared decision-making between health care providers and patients at a tertiary hospital diabetic Clinic in Tanzania |
| title_fullStr | Shared decision-making between health care providers and patients at a tertiary hospital diabetic Clinic in Tanzania |
| title_full_unstemmed | Shared decision-making between health care providers and patients at a tertiary hospital diabetic Clinic in Tanzania |
| title_short | Shared decision-making between health care providers and patients at a tertiary hospital diabetic Clinic in Tanzania |
| title_sort | shared decision making between health care providers and patients at a tertiary hospital diabetic clinic in tanzania |
| topic | Shared decision-making Diabetic patients Muhimbili national hospital Decision aids |
| url | https://doi.org/10.1186/s12913-020-06041-4 |
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