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Research article
Francis Fredrick Furia
Muhimbili University of Health and Allied Sciences
Corresponding Author
ORCiD: https://orcid.org/0000-0003-2668-3041
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Patients’ participation in decision making regarding their treatment is defined in ethical, legal and human rights standards in the provision of care that concerns health providers and the entire community.
Objective
To assess practices and challenges of diabetic patients and healthcare providers’ participation in shared decision making at Muhimbili National Hospital in Dar es Salaam.
Methods
This study employed a phenomenological study design using in-depth interview technique. Study participants were diabetic patients visiting the clinic and healthcare providers working at Muhimbili national hospital. Data was collected using the semi-structured interview guide with open-ended questions using an audio digital recorder. Content analysis method was used during analysis whereby categories were reached through the process of coding with assistance by Nvivo 12 software.
Results
The study found that most participants participate in shared decision making. Few patients indicated partial participation in shared decision making. Decision aids were found important for execution of shared decision making but they are scarce. Likewise, the study found that beliefs and values, time and education level are barriers to shared decision making.
Conclusion
Although this study indicated that shared decision making is practiced at Muhimbili national hospital, further search in this area is needed to be done in other hospitals.
Keywords
shared decision-making, diabetic patients, Muhimbili national hospital, decision aids
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CURRENT STATUS: Published
View the published article at BMC Health Services Research.
No community comments so far
Submission checks complete
On 24 Dec, 2020
Editorial decision: Accept
On 21 Dec, 2020
No comments provided
Editorial decision: Minor revision
On 08 Dec, 2020
Review #2 received
Received 05 Dec, 2020
Reviewer #2 agreed
On 22 Nov, 2020
Review #1 received
Received 27 Oct, 2020
Reviewer #1 agreed
On 06 Oct, 2020
Reviewers invited
Invitations sent on 01 Oct, 2020
Editor assigned
On 23 Sep, 2020
Submission checks complete
On 22 Sep, 2020
Editor invited
On 22 Sep, 2020
No comments provided
Editorial decision: Revise before sending to peer reviewers
On 27 Aug, 2020
Editor assigned
On 17 Aug, 2020
Submission checks complete
On 16 Aug, 2020
Editor invited
On 16 Aug, 2020
Version 2
Posted 29 May, 2020
No comments provided
Editorial decision: Major revision
On 06 Jul, 2020
Review #2 received
Received 15 Jun, 2020
Review #1 received
Received 15 Jun, 2020
Reviewer #3 agreed
On 24 May, 2020
Reviewer #2 agreed
On 24 May, 2020
Reviewer #1 agreed
On 20 May, 2020
Reviewers invited
Invitations sent on 20 May, 2020
Editor assigned
On 19 May, 2020
Submission checks complete
On 18 May, 2020
Editor invited
On 18 May, 2020
No comments provided
Editorial decision: Revise before sending to peer reviewers
On 25 Mar, 2020
Editor assigned
On 08 Mar, 2020
Submission checks complete
On 07 Mar, 2020
Editor invited
On 07 Mar, 2020
First submitted
On 05 Mar, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Health Policy
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Health Services Research.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Francis Fredrick Furia
Muhimbili University of Health and Allied Sciences
Corresponding Author
ORCiD: https://orcid.org/0000-0003-2668-3041
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Health Services Research.
No community comments so far
Submission checks complete
On 24 Dec, 2020
Editorial decision: Accept
On 21 Dec, 2020
No comments provided
Editorial decision: Minor revision
On 08 Dec, 2020
Review #2 received
Received 05 Dec, 2020
Reviewer #2 agreed
On 22 Nov, 2020
Review #1 received
Received 27 Oct, 2020
Reviewer #1 agreed
On 06 Oct, 2020
Reviewers invited
Invitations sent on 01 Oct, 2020
Editor assigned
On 23 Sep, 2020
Submission checks complete
On 22 Sep, 2020
Editor invited
On 22 Sep, 2020
No comments provided
Editorial decision: Revise before sending to peer reviewers
On 27 Aug, 2020
Editor assigned
On 17 Aug, 2020
Submission checks complete
On 16 Aug, 2020
Editor invited
On 16 Aug, 2020
Version 2
Posted 29 May, 2020
No comments provided
Editorial decision: Major revision
On 06 Jul, 2020
Review #2 received
Received 15 Jun, 2020
Review #1 received
Received 15 Jun, 2020
Reviewer #3 agreed
On 24 May, 2020
Reviewer #2 agreed
On 24 May, 2020
Reviewer #1 agreed
On 20 May, 2020
Reviewers invited
Invitations sent on 20 May, 2020
Editor assigned
On 19 May, 2020
Submission checks complete
On 18 May, 2020
Editor invited
On 18 May, 2020
No comments provided
Editorial decision: Revise before sending to peer reviewers
On 25 Mar, 2020
Editor assigned
On 08 Mar, 2020
Submission checks complete
On 07 Mar, 2020
Editor invited
On 07 Mar, 2020
First submitted
On 05 Mar, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Health Policy
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Health Services Research.
Background
Patients’ participation in decision making regarding their treatment is defined in ethical, legal and human rights standards in the provision of care that concerns health providers and the entire community.
Objective
To assess practices and challenges of diabetic patients and healthcare providers’ participation in shared decision making at Muhimbili National Hospital in Dar es Salaam.
Methods
This study employed a phenomenological study design using in-depth interview technique. Study participants were diabetic patients visiting the clinic and healthcare providers working at Muhimbili national hospital. Data was collected using the semi-structured interview guide with open-ended questions using an audio digital recorder. Content analysis method was used during analysis whereby categories were reached through the process of coding with assistance by Nvivo 12 software.
Results
The study found that most participants participate in shared decision making. Few patients indicated partial participation in shared decision making. Decision aids were found important for execution of shared decision making but they are scarce. Likewise, the study found that beliefs and values, time and education level are barriers to shared decision making.
Conclusion
Although this study indicated that shared decision making is practiced at Muhimbili national hospital, further search in this area is needed to be done in other hospitals.
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