{"doi":"10.2147/ppa.s302784","title":"Patients’ Involvement in Decision-Making During Healthcare in a Developing Country: A Cross-Sectional Study","abstract":"PURPOSE: Patient autonomy and participation have a significant impact on patient satisfaction and compliance with treatment. We aimed to establish and describe the level of shared decision-making (SDM) among the patients in a developing country. Uganda is a low resource country with a 2019 GDP of 35.17 billion US dollars. In some regions, over 60% of Ugandans live below the national poverty line and most of them depend on the underfunded health care system. METHODS: A cross-sectional, quantitative study was carried out among the outpatients attending Kisenyi Health center IV, Kampala, Uganda. An interviewer-administered questionnaire with a 5-point Likert scale was used to assess patients' SDM. All statistical analysis was performed using STATA 15 software. RESULTS: A total of 326 patients participated in this study. Majority of the participants were females (n=241, 73.9%) and aged 18-35 years (n=218, 66.9%). Only 22 (7%) of the participants knew the name of their consulting doctor. Most of the participants, 84% were given enough time to narrate their symptoms. Overall, only 11.3% (n=37) of the participants had adequately participated in SDM. The overall mean score of participation in SDM was 2.7 (SD:0.8). Participants who knew the name of their consulting doctor were approximately 11 times more likely to participate in SDM (OR: 10.7, 95% CI: 4.2-27.0, P<0.0001). CONCLUSION: The majority of patients attending Kisenyi Health Center IV did not adequately participate in SDM. Continued medical education should be organized for healthcare professionals to promote SDM.","journal":"Patient Preference and Adherence","year":2021,"id":171692,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":26,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9605,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":546622,"name":"Ronald Olum","orcid":"0000-0003-1289-0111","position":1,"is_corresponding":false},{"id":707118,"name":"Ali Bananyiza","orcid":null,"position":2,"is_corresponding":false},{"id":706554,"name":"Godfrey Wekha","orcid":"0000-0002-5944-1535","position":3,"is_corresponding":false},{"id":707119,"name":"Meddy Rutayisire","orcid":null,"position":4,"is_corresponding":false},{"id":706555,"name":"Keneth Kato Agaba","orcid":"0000-0002-1647-9605","position":5,"is_corresponding":false},{"id":706556,"name":"Gaudencia Chekwech","orcid":"0000-0001-9266-0169","position":6,"is_corresponding":false},{"id":707120,"name":"Jalidah Nabukalu","orcid":null,"position":7,"is_corresponding":false},{"id":707121,"name":"Genevieve Gloria Nanyonjo","orcid":null,"position":8,"is_corresponding":false},{"id":706557,"name":"Robinah Namagembe","orcid":"0000-0002-9842-261X","position":9,"is_corresponding":false},{"id":707122,"name":"Sylvia Nantongo","orcid":null,"position":10,"is_corresponding":false},{"id":706558,"name":"Margaret Lubwama","orcid":"0000-0003-4706-6157","position":11,"is_corresponding":false},{"id":533437,"name":"Innocent Besigye","orcid":"0000-0002-7903-3985","position":12,"is_corresponding":false},{"id":495162,"name":"Sarah Kiguli","orcid":"0000-0002-8764-4161","position":13,"is_corresponding":false},{"id":706553,"name":"Julius Nuwagaba","orcid":"0000-0002-4637-2382","position":0,"is_corresponding":true}],"reference_count":29,"raw_metadata":null,"created_at":"2026-07-18T23:46:33.067299Z","pmid":"34079233","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}