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Article: How common are Chinese patients with multimorbidity involved in decision‐making and having a treatment plan? A cross‐sectional study

TitleHow common are Chinese patients with multimorbidity involved in decision‐making and having a treatment plan? A cross‐sectional study
Authors
Issue Date2021
PublisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/IJCP
Citation
International Journal of Clinical Practice, 2021, Aug, 75 n. 8, p. e14286 How to Cite?
AbstractBackground 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.
DescriptionThe work described in this paper was fully supported by a commissioned grant from the Health and Medical Research Fund of the Food and Health Bureau of the Government of the Hong Kong Special Administrative Region (Project Reference: Elderly Care—CUHK). The Funding body has no role in any part of the study
Persistent Identifierhttp://hdl.handle.net/10722/300339
ISSN
2023 Impact Factor: 2.2
2023 SCImago Journal Rankings: 0.634
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLee, KP-
dc.contributor.authorWong, SYS-
dc.contributor.authorYip, BHK-
dc.contributor.authorWong, ELY-
dc.contributor.authorLai, TTF-
dc.contributor.authorChan, D-
dc.contributor.authorChau, PYK-
dc.contributor.authorLuk, L-
dc.contributor.authorYeoh, EK-
dc.date.accessioned2021-06-04T08:41:32Z-
dc.date.available2021-06-04T08:41:32Z-
dc.date.issued2021-
dc.identifier.citationInternational Journal of Clinical Practice, 2021, Aug, 75 n. 8, p. e14286-
dc.identifier.issn1368-5031-
dc.identifier.urihttp://hdl.handle.net/10722/300339-
dc.descriptionThe work described in this paper was fully supported by a commissioned grant from the Health and Medical Research Fund of the Food and Health Bureau of the Government of the Hong Kong Special Administrative Region (Project Reference: Elderly Care—CUHK). The Funding body has no role in any part of the study-
dc.description.abstractBackground 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.-
dc.languageeng-
dc.publisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/IJCP-
dc.relation.ispartofInternational Journal of Clinical Practice-
dc.rightsThe definitive version is available at www.blackwell-synergy.com-
dc.titleHow common are Chinese patients with multimorbidity involved in decision‐making and having a treatment plan? A cross‐sectional study-
dc.typeArticle-
dc.identifier.emailLai, TTF: fttlai@hku.hk-
dc.identifier.authorityLai, TTF=rp02802-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/ijcp.14286-
dc.identifier.pmid33914995-
dc.identifier.scopuseid_2-s2.0-85105804842-
dc.identifier.hkuros322701-
dc.identifier.issue8-
dc.identifier.spagee14286-
dc.identifier.epagee14286-
dc.identifier.isiWOS:000651131000001-
dc.publisher.placeUnited Kingdom-

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