How common are Chinese patients with multimorbidity involved in decision-making and having a treatment plan? A
Kam Pui Lee1, Samuel Yeung Shan Wong1, Benjamin Hon Kei Yip1
1JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Background:
Creating a treatment plan (TP) through shared decision-making (SDM) with healthcare professionals is of paramount importance for patients with multimorbidity (MM). This study aims to estimate the prevalence of SDM and TP in patients with MM and study the association between SDM/TP with patients' confidence to manage their diseases and hospitalization within the previous 1 year.
Method:
This cross-sectional study used an internationally recognized survey. A total of 1032 patients aged 60 or above with MM were recruited from a specialist outpatient clinic, general outpatient clinic (GOPC) and a geriatric day hospital. The proportion of patients reported to have SDM and TP was estimated. Associations between the presence of SDM/TP and patients' demographic data, the confidence level to manage their illnesses and hospitalization in previous 1 year were then studied using logistic regression.
Results:
The prevalence of SDM and TP was 35.8% and 82.1%, respectively. The presence of TP was associated with receiving healthcare from the same doctor or in the same facilities and being recruited from GOPC. The presence of SDM (OR = 1.352, P = .089) and TP (OR = 2.384, P < .001) was associated with enhanced confidence in dealing with diseases.
Conclusion:
Most people with MM had TP in Hong Kong, but fewer patients had SDM.
Practice Implications:
Ways to promote SDM in HK are needed.
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