Patient Preference and Adherence (May 2023)
Factors Influencing Participation in Shared Decision-Making Among Patients with Glaucoma in China: A Cross-Sectional Study
Abstract
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 [email protected]: 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
