Factors associated with level of shared decision making in Malaysian primary care consultations
•First use of the OPTION tool to measure shared decision-making in an Asian setting.•Overall shared decision-making score was lower than scores published elsewhere.•Increased consultation time was significantly associated with a better SDM score.•Scores for the ethnic majority were better than for t...
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| Veröffentlicht in: | Patient education and counseling 2020-05, Vol.103 (5), p.1049-1051 |
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| creator | Lee, Yew Kong Chor, Yee Yang Tan, Mae-Yen Ngio, Yi Chen Chew, Ai Wie Tiew, Han Wei Syahirah, Mohamed Reza Ng, Chirk Jenn |
| description | •First use of the OPTION tool to measure shared decision-making in an Asian setting.•Overall shared decision-making score was lower than scores published elsewhere.•Increased consultation time was significantly associated with a better SDM score.•Scores for the ethnic majority were better than for the minorities.
To measure the level of shared decision-making (SDM) in primary care consultations in Malaysia, a multicultural, middle-income developing country.
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.
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 |
| doi_str_mv | 10.1016/j.pec.2019.12.005 |
| format | Article |
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To measure the level of shared decision-making (SDM) in primary care consultations in Malaysia, a multicultural, middle-income developing country.
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.
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 < 0.05) and increased consultation time (β = 0.407, p < 0.01) were associated with higher OPTION scores.
Patients in Malaysia experience extremely poor levels of SDM in general practice. Higher scores were associated with increased consultation time and patient ethnicity.
Malaysian general practitioners should aim to develop and practice cultural competency skills to avoid biased SDM practice towards certain ethnicities.</description><identifier>ISSN: 0738-3991</identifier><identifier>EISSN: 1873-5134</identifier><identifier>DOI: 10.1016/j.pec.2019.12.005</identifier><identifier>PMID: 31866195</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Consultation ; Malaysia ; Nursing ; Primary care ; Shared decision making</subject><ispartof>Patient education and counseling, 2020-05, Vol.103 (5), p.1049-1051</ispartof><rights>2019 Elsevier B.V.</rights><rights>Copyright © 2019 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-1495289dded8a58520afd8ced072dfb1098b12e9e6960bd04d5ea17b9f4e3df83</citedby><cites>FETCH-LOGICAL-c353t-1495289dded8a58520afd8ced072dfb1098b12e9e6960bd04d5ea17b9f4e3df83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S073839911930549X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31866195$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Yew Kong</creatorcontrib><creatorcontrib>Chor, Yee Yang</creatorcontrib><creatorcontrib>Tan, Mae-Yen</creatorcontrib><creatorcontrib>Ngio, Yi Chen</creatorcontrib><creatorcontrib>Chew, Ai Wie</creatorcontrib><creatorcontrib>Tiew, Han Wei</creatorcontrib><creatorcontrib>Syahirah, Mohamed Reza</creatorcontrib><creatorcontrib>Ng, Chirk Jenn</creatorcontrib><title>Factors associated with level of shared decision making in Malaysian primary care consultations</title><title>Patient education and counseling</title><addtitle>Patient Educ Couns</addtitle><description>•First use of the OPTION tool to measure shared decision-making in an Asian setting.•Overall shared decision-making score was lower than scores published elsewhere.•Increased consultation time was significantly associated with a better SDM score.•Scores for the ethnic majority were better than for the minorities.
To measure the level of shared decision-making (SDM) in primary care consultations in Malaysia, a multicultural, middle-income developing country.
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.
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 < 0.05) and increased consultation time (β = 0.407, p < 0.01) were associated with higher OPTION scores.
Patients in Malaysia experience extremely poor levels of SDM in general practice. Higher scores were associated with increased consultation time and patient ethnicity.
Malaysian general practitioners should aim to develop and practice cultural competency skills to avoid biased SDM practice towards certain ethnicities.</description><subject>Consultation</subject><subject>Malaysia</subject><subject>Nursing</subject><subject>Primary care</subject><subject>Shared decision making</subject><issn>0738-3991</issn><issn>1873-5134</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kMFu1DAQhi0EokvhAbggH7kkzMRx1hYnVLWAVMQFzpZjT6iXbLx4skV9e1ztwpHTSKNvfs3_CfEaoUXA4d2uPVBoO0DbYtcC6Cdig2arGo2qfyo2sFWmUdbihXjBvAOAYejxubhQaIYBrd4Id-PDmgtLz5xD8itF-Tutd3Kme5plniTf-VKXkULilBe59z_T8kOmRX7xs3_g5Bd5KGnvy4MMFZUhL3ycV79Wml-KZ5OfmV6d56X4fnP97epTc_v14-erD7dNUFqtDfZWd8bGSNF4bXQHfoomUIRtF6cRwZoRO7I02AHGCH3U5HE72qknFSejLsXbU-6h5F9H4tXtEweaZ79QPrLrlKrtAXpdUTyhoWTmQpM7v-8Q3KNXt3PVq3v06rBz1Wu9eXOOP457iv8u_oqswPsTQLXkfaLiOCRaaoNUKKwu5vSf-D_5PIoM</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Lee, Yew Kong</creator><creator>Chor, Yee Yang</creator><creator>Tan, Mae-Yen</creator><creator>Ngio, Yi Chen</creator><creator>Chew, Ai Wie</creator><creator>Tiew, Han Wei</creator><creator>Syahirah, Mohamed Reza</creator><creator>Ng, Chirk Jenn</creator><general>Elsevier B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202005</creationdate><title>Factors associated with level of shared decision making in Malaysian primary care consultations</title><author>Lee, Yew Kong ; Chor, Yee Yang ; Tan, Mae-Yen ; Ngio, Yi Chen ; Chew, Ai Wie ; Tiew, Han Wei ; Syahirah, Mohamed Reza ; Ng, Chirk Jenn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-1495289dded8a58520afd8ced072dfb1098b12e9e6960bd04d5ea17b9f4e3df83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Consultation</topic><topic>Malaysia</topic><topic>Nursing</topic><topic>Primary care</topic><topic>Shared decision making</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Yew Kong</creatorcontrib><creatorcontrib>Chor, Yee Yang</creatorcontrib><creatorcontrib>Tan, Mae-Yen</creatorcontrib><creatorcontrib>Ngio, Yi Chen</creatorcontrib><creatorcontrib>Chew, Ai Wie</creatorcontrib><creatorcontrib>Tiew, Han Wei</creatorcontrib><creatorcontrib>Syahirah, Mohamed Reza</creatorcontrib><creatorcontrib>Ng, Chirk Jenn</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Patient education and counseling</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Yew Kong</au><au>Chor, Yee Yang</au><au>Tan, Mae-Yen</au><au>Ngio, Yi Chen</au><au>Chew, Ai Wie</au><au>Tiew, Han Wei</au><au>Syahirah, Mohamed Reza</au><au>Ng, Chirk Jenn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with level of shared decision making in Malaysian primary care consultations</atitle><jtitle>Patient education and counseling</jtitle><addtitle>Patient Educ Couns</addtitle><date>2020-05</date><risdate>2020</risdate><volume>103</volume><issue>5</issue><spage>1049</spage><epage>1051</epage><pages>1049-1051</pages><issn>0738-3991</issn><eissn>1873-5134</eissn><abstract>•First use of the OPTION tool to measure shared decision-making in an Asian setting.•Overall shared decision-making score was lower than scores published elsewhere.•Increased consultation time was significantly associated with a better SDM score.•Scores for the ethnic majority were better than for the minorities.
To measure the level of shared decision-making (SDM) in primary care consultations in Malaysia, a multicultural, middle-income developing country.
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.
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 < 0.05) and increased consultation time (β = 0.407, p < 0.01) were associated with higher OPTION scores.
Patients in Malaysia experience extremely poor levels of SDM in general practice. Higher scores were associated with increased consultation time and patient ethnicity.
Malaysian general practitioners should aim to develop and practice cultural competency skills to avoid biased SDM practice towards certain ethnicities.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>31866195</pmid><doi>10.1016/j.pec.2019.12.005</doi><tpages>3</tpages></addata></record> |
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| language | eng |
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| source | Elsevier ScienceDirect Journals |
| subjects | Consultation Malaysia Nursing Primary care Shared decision making |
| title | Factors associated with level of shared decision making in Malaysian primary care consultations |
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