Factors associated with level of shared decision making in Malaysian primary care consultations

Lee YK; Chor YY; Tan MY; Ngio YC; Chew AW; Tiew HW; Syahirah MR; Ng CJ

doi:10.1016/j.pec.2019.12.005

Factors associated with level of shared decision making in Malaysian primary care consultations

Lee YK ¹ , Chor YY ² , Tan MY ³ , Ngio YC ² , Chew AW ² , Tiew HW ² Show all authors , Syahirah MR ² , Ng CJ ²

Affiliations

¹ Department of Primary Care, University of Malaya, Kuala Lumpur, Malaysia. Electronic address: leeyk@um.edu.my
² Department of Primary Care, University of Malaya, Kuala Lumpur, Malaysia
³ School of Medicine, University of Glasgow, Glasgow, UK

Patient Educ Couns, 2020 05;103(5):1049-1051.

PMID: 31866195 DOI: 10.1016/j.pec.2019.12.005

Abstract

OBJECTIVE: To measure the level of shared decision-making (SDM) in primary care consultations in Malaysia, a multicultural, middle-income developing country.

METHODS: A cross-sectional study was conducted in an urban, public primary care clinic. Convenience sampling was used to recruit participants, and audio-recorded consultations were scored for SDM levels by two independent raters using the OPTION tool. Univariate and multivariate analysis was conducted to determine factors significantly associated with SDM levels.

RESULTS: 199 patients and 31 doctors participated. Mean consultation time was 14.3 min (+ SD 5.75). Patients' age ranged from 18 to 87 years (median age of 57.5 years). 52.8 % of patients were female, with three main ethnicities (Malay, Chinese, Indian). The mean OPTION score was found to be 7.8 (+ SD 3.31) out of 48. After a multivariate analysis, only patient ethnicity (β= -0.142, p 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.