| Summary: | Yiwen Sun,1 Wenzhe Zhou,2 Shushu Zuo,1 Chen Chen,1 Qiqi Zhang,1 Yanyan Chen3 1School of Ophthalmology and Optometry, Biomedical Engineering, Wenzhou Medical University, Wenzhou, Zhejiang, People’s Republic of China; 2Glaucoma Clinical Center, the Eye Hospital of Wenzhou Medical University, National Clinical Research Center for Ocular Diseases, Wenzhou, Zhejiang, People’s Republic of China; 3Nursing Department, the Eye Hospital of Wenzhou Medical University, National Clinical Research Center for Ocular Diseases, Wenzhou, Zhejiang, People’s Republic of ChinaCorrespondence: Yanyan Chen, The Eye Hospital of Wenzhou Medical University, National Clinical Research Center for Ocular Diseases, No. 270, West College Road, Wenzhou City, Zhejiang Province, People’s Republic of China, Tel +86 13858855689, Email cyy@eye.ac.cnPurpose: To explore the level of participation in shared decision-making by patients with glaucoma and identify influencing factors, to subsequently provide references to promote shared decision-making in ophthalmology, and achieve patient-centered care.Patients and Methods: A questionnaire was completed by 148 patients with glaucoma who had been admitted to a specialized ophthalmic hospital in China, between October 2021 and January 2022. The participants’ responses to the nine-item Shared Decision-Making Questionnaire (SDM-Q-9) and a general information survey were analyzed to determine their level of participation in shared decision-making and influencing factors. Multiple linear regression was used to identify factors that influence shared decision-making at the time of clinical practice.Results: The mean score of SDM-Q-9 was 71.73± 21.27 (n=140). Multiple linear regression analysis showed that patients with negative attitudes towards participation in decision-making (P=0.023) and those who had rural insurance (P=0.017) had significantly lower SDM-Q-9 scores than those with positive attitudes and those with medical insurance. Patients who were more satisfied with their medical service had higher SDM-Q-9 scores (P< 0.05).Conclusion: Patients with glaucoma presented a high level of shared decision-making. Patients’ attitudes towards participating in decision-making, the payment method of medical expenses, and the level of satisfaction with medical services are factors that influence their level of participation in shared decision-making.Keywords: glaucoma, shared decision-making, patient participation, influencing factor
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