Exploring the Patient Engagement in the Healthcare Decision-Making Process and Its Association With Patients' Satisfaction.
Kholoud Alharbi, Hessa Abdulrahman Almutairi, Norah Saleh Albagami
PMID 41928053WHAT IT FOUND
Among 302 chronic clinic patients, feeling involved in care decisions did not predict satisfaction.
Satisfaction was neutral, and dissatisfaction was linked to access, waits, costs and rushed consultations.
Key findings
01Patient engagement in decision-making did not significantly predict satisfaction with medical care.
02Patients reported low involvement in decision-making (mean 2.03, SD 0.08) and neutral satisfaction (mean 2.90, SD 0.17) on 1 to 5 scales.
03Satisfaction did not differ significantly by gender, duration of infection, caregiver support, marital status, age group or employment status.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The data came from one geographic region and one hospital, so results may not apply elsewhere. Patients were selected purposively, which can introduce selection bias. Most participants were female, so the findings may not apply equally to male patients. Some engagement items had very little response variation, which may reflect floor or ceiling effects or response-pattern bias. Some demographic analyses used available cases because responses were missing.
Declared interests
The authors declared no conflicts of interest. The work was supported by King Saud University's Ongoing Research Funding Program.
The easy way to misread this
Do not conclude that involving patients in decisions will improve satisfaction. This study found no significant association between engagement and satisfaction, and it was cross-sectional, so it cannot show cause or effect.