• Family practice · Jun 2016

    Perceived involvement and preferences in shared decision-making among patients with hypertension.

    • Hui Chin Mah, Leelavathi Muthupalaniappen, and Wei Wen Chong.
    • Faculty of Pharmacy, Universiti Kebangsaan Malaysia and.
    • Fam Pract. 2016 Jun 1; 33 (3): 296-301.

    BackgroundShared decision-making (SDM) is an important component of patient-centred care. However, there is limited information on its implementation in Malaysia, particularly in chronic diseases such as hypertension.ObjectiveThe objective of this study was to examine perceived involvement and role preferences of patients with hypertension in treatment decision-making.MethodsA cross-sectional survey was conducted among 210 patients with hypertension in a teaching hospital in Malaysia.ResultsThe majority of respondents agreed that their doctor recognized that a decision needs to be made (89.5%) and informed them that different options are available (77.1%). However, respondents' perceived level of involvement in other aspects of treatment decision-making process was low, including in the selection of treatment and in reaching an agreement with their doctor on how to proceed with treatment. In terms of preferred decision-making roles, 51.4% of respondents preferred a collaborative role with their physicians, 44.8% preferred a passive role while only 1.9% preferred an active role. Age and educational level were found to be significantly related to patient preferences for involvement in SDM. Younger patients (<60 years) and those with higher educational level preferred SDM over passive decision-making (ρ < 0.01). Encouragement from health care providers was perceived as a major motivating factor for SDM among patients with hypertension, with 91% of respondents agreeing that this would motivate their participation in SDM.ConclusionPreferences for involvement in decision-making among patients with hypertension are varied, and influenced by age and educational level. Physicians have a key role in encouraging patients to participate in SDM.© The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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