Participation preferences of health service users in health care decision‐making regarding rehabilitative care in Germany—A cross‐sectional study

Abstract Background: Autonomy of women in health care decision-making is tremendously crucial for improved maternal health outcomes and women’s empowerment. Women with greater freedom of movement are more likely to receive maternal health services. However, little has been investigated about women’s autonomy in maternal health care decision-making and contributing factors in Ethiopia. The aim of this study was to assess decision-making autonomy on maternal health care services utilization and associated factors among women.Methods: A community-based cross-sectional study was conducted in Mettu rural Woreda, Ilu Aba Bor zone, southwest Ethiopia from June 19 to August 20, 2021. Data was collected using a pretested interviewer-administered questionnaire from 541 randomly selected women. The collected data was entered into Epi-Data version 3.1 and exported to SPSS version 22 for analysis. Bivariate and multivariate logistic regression was used to identify factors associated with women's decision-making autonomy on maternal health service utilization. The significance of association was declared by using the odds ratio with a 95% confidence interval and a p-value less than 0.05 in the multivariable model.Results: Out of 522 women included in the analysis, 322 (60.5%) (95% CI: 56.2%-64.7%) were found to be autonomous on maternal health service utilization. Age category from 30-39 years, AOR=4.27 (95%CI: 1.59-11.43), attending primary education and above, AOR=3.87 (95%CI: 2.15-6.99), greater than five family size, AOR=0.25 (95%CI: 0.15-0.41), and distance from the health facility, AOR=5.33 (95%CI: 2.50-11.33) were significantly associated with women's decision-making autonomy on maternal health care services utilization.Conclusion: Even though every woman has the right to participate in her own health care decision-making, around two fifths of them have no role in making health care decisions about their own health. Socio-demographic factors like age and education were found to influence women’s autonomy. Special attention has to be given to women living in rural areas in order to reduce their dependency through education.

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Is enquiry regarding alcohol consumption and alcohol reduction advice acceptable to sexual health service users? A cross-sectional study of clinic attendees

10.26226/morressier.5731a407d462b8028d88c61a ◽

2016 ◽

Author(s):

Martyn Wood

Keyword(s):

Alcohol Consumption ◽

Health Service ◽

Sexual Health ◽

Cross Sectional Study ◽

Service Users ◽

Sectional Study ◽

Cross Sectional ◽

Sexual Health Service ◽

Alcohol Reduction

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Factors associated with surrogate families’ life-sustaining treatment preferences for patients at home or in a geriatric health service facility: A cross-sectional study

Palliative & Supportive Care ◽

10.1017/s1478951521001401 ◽

2021 ◽

pp. 1-8

Author(s):

Fumio Shaku ◽

Madoka Tsutsumi ◽

Asumi Nakamura ◽

Hiroshi Takagi ◽

Takahiro Otsuka ◽

...

Keyword(s):

Decision Making ◽

Health Service ◽

Response Rate ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Service Facility ◽

Group Response ◽

Living Together ◽

Life Sustaining Treatment

Abstract Objective Recently, end-of-life preference in palliative care has been gaining attention in Japan. The Ministry of Health, Labor, and Welfare established the Japanese basic policy in November 2018. Patients’ decision-making is recommended; however, patients with dementia or other disorders cannot make such decisions by themselves. Thus, healthcare providers may contact surrogates and consider their backgrounds for better decision-making. Hence, the preferences of home caregivers’ and geriatric health service facility (GHSF) residents’ families on patient life-sustaining treatment (LST) were investigated. Method This cross-sectional study involved home caregivers’ and GHSF residents’ families in Japan. We distributed 925 self-reported questionnaires comprising items, such as the number of people living together, care duration, comprehension of doctor's explanations, the Patient Health Questionnaire (PHQ)-9 and Short Form (SF)-8, and families’ LST preference for patients. Results In all, 619 valid responses were obtained [242 men and 377 women (309 in the HOME Caregivers Group, response rate = 61.1%; 310 in the GHSF Group, response rate = 74.0%)]. LST preference was significantly associated with sex, the number of people living together, care duration, and comprehension of doctors’ explanations in the HOME Caregivers Group but was not significantly associated with the GHSF Group. Furthermore, PHQ-9/SF-8 scores were not significantly associated with LST preference. Significance of results There were many differences in opinions about LST preference between home caregivers’ and GHSF residents’ families. The results suggested that the burden of nursing care was greater and harder in home caregiver families, and these factors may be related to the LST preference for a patient.

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Sociodemographic Representativeness in a Nationwide Web-Based Survey of the View of Men on Involvement in Health Care Decision-Making: Cross-Sectional Questionnaire Study

Journal of Medical Internet Research ◽

10.2196/19517 ◽

2020 ◽

Vol 22 (9) ◽

pp. e19517 ◽

Cited By ~ 1

Author(s):

Søren F Birkeland ◽

Anders K Haakonsson ◽

Susanne S Pedersen ◽

Nina Rottmann ◽

Michael J Barry ◽

...

Keyword(s):

Health Care ◽

Decision Making ◽

Rural Areas ◽

Urban Areas ◽

Secure Communication ◽

Response Rates ◽

Cross Sectional ◽

Web Based ◽

Health Care Decision ◽

Care Decision

Background Being able to generalize research findings to a broader population outside of the study sample is an important goal in surveys on the internet. We conducted a nationwide, cross-sectional, web-based survey with vignettes illustrating different levels of patient involvement to investigate men’s preferences regarding participation in health care decision-making. Following randomization into vignette variants, we distributed the survey among men aged 45 to 70 years through the state-authorized digital mailbox provided by the Danish authorities for secure communication with citizens. Objective This study aimed to investigate the sociodemographic representativeness of our sample of men obtained in a nationwide web-based survey using the digital mailbox. Methods Response rate estimates were established, and comparisons were made between responders and nonresponders in terms of age profiles (eg, average age) and municipality-level information on sociodemographic characteristics. Results Among 22,288 men invited during two waves, a total of 6756 (30.31%) participants responded to the survey. In adjusted analyses, responders’ characteristics mostly resembled those of nonresponders. Response rates, however, were significantly higher in older men (odds ratio [OR] 2.83 for responses among those aged 65-70 years compared with those aged 45-49 years, 95% CI 2.58-3.11; P<.001) and in rural areas (OR 1.10 compared with urban areas, 95% CI 1.03-1.18; P=.005). Furthermore, response rates appeared lower in areas with a higher tax base (OR 0.89 in the highest tertile, 95% CI 0.81-0.98; P=.02). Conclusions Overall, the general population of men aged 45 to 70 years was represented very well by the responders to our web-based survey. However, the imbalances identified highlight the importance of supplementing survey findings with studies of the representativeness of other characteristics of the sample like trait and preference features, so that proper statistical corrections can be made in upcoming analyses of survey responses whenever needed.

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P002 Is enquiry regarding alcohol consumption and alcohol reduction advice acceptable to sexual health service users? A cross-sectional study of clinic attendees

Sexually Transmitted Infections ◽

10.1136/sextrans-2016-052718.57 ◽

2016 ◽

Vol 92 (Suppl 1) ◽

pp. A20.3-A21

Author(s):

Martyn Wood

Keyword(s):

Alcohol Consumption ◽

Health Service ◽

Sexual Health ◽

Cross Sectional Study ◽

Service Users ◽

Sectional Study ◽

Cross Sectional ◽

Sexual Health Service ◽

Alcohol Reduction

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Sociodemographic Representativeness in a Nationwide Web-Based Survey of the View of Men on Involvement in Health Care Decision-Making: Cross-Sectional Questionnaire Study (Preprint)

10.2196/preprints.19517 ◽

2020 ◽

Author(s):

Søren F Birkeland ◽

Anders K Haakonsson ◽

Susanne S Pedersen ◽

Nina Rottmann ◽

Michael J Barry ◽

...

Keyword(s):

Health Care ◽

Decision Making ◽

Rural Areas ◽

Urban Areas ◽

Secure Communication ◽

Response Rates ◽

Cross Sectional ◽

Web Based ◽

Health Care Decision ◽

Care Decision

BACKGROUND Being able to generalize research findings to a broader population outside of the study sample is an important goal in surveys on the internet. We conducted a nationwide, cross-sectional, web-based survey with vignettes illustrating different levels of patient involvement to investigate men’s preferences regarding participation in health care decision-making. Following randomization into vignette variants, we distributed the survey among men aged 45 to 70 years through the state-authorized digital mailbox provided by the Danish authorities for secure communication with citizens. OBJECTIVE This study aimed to investigate the sociodemographic representativeness of our sample of men obtained in a nationwide web-based survey using the digital mailbox. METHODS Response rate estimates were established, and comparisons were made between responders and nonresponders in terms of age profiles (eg, average age) and municipality-level information on sociodemographic characteristics. RESULTS Among 22,288 men invited during two waves, a total of 6756 (30.31%) participants responded to the survey. In adjusted analyses, responders’ characteristics mostly resembled those of nonresponders. Response rates, however, were significantly higher in older men (odds ratio [OR] 2.83 for responses among those aged 65-70 years compared with those aged 45-49 years, 95% CI 2.58-3.11; P<.001) and in rural areas (OR 1.10 compared with urban areas, 95% CI 1.03-1.18; P=.005). Furthermore, response rates appeared lower in areas with a higher tax base (OR 0.89 in the highest tertile, 95% CI 0.81-0.98; P=.02). CONCLUSIONS Overall, the general population of men aged 45 to 70 years was represented very well by the responders to our web-based survey. However, the imbalances identified highlight the importance of supplementing survey findings with studies of the representativeness of other characteristics of the sample like trait and preference features, so that proper statistical corrections can be made in upcoming analyses of survey responses whenever needed.

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