Preferences For Health Information and Participation in Decision Making: The Patients’ Perspectives for Hospital Improvement
DOI:
https://doi.org/10.55927/fjmr.v3i4.8454Keywords:
Generational In-patients, Preference for Health Information, Preference for Participation in decision-makingAbstract
Patients of varying generations demand varying approaches. Additionally, hailing from diverse indigenous cultures and religions, they have distinct historical backgrounds that shape their personal qualities. In healthcare, holistic care is critical, and it must meet the dynamism and constant change of the world, while also taking generational gaps into account as a major concern in healthcare. This quantitative research made use of the descriptive, comparative (non-causal) design to compare the differences in the perceptions on the preferences for health information and participation in decision making among generational in-patients in a government-retained hospital for the 2nd quarter of 2021. Findings of the study revealed that the respondents had a good preference on health information on diagnosis, treatment, laboratory tests, self-care, and psychosocial while they are only had a fair preference of health information on complimentary or alternative medicine and healthcare provider. The Generation Z scored the highest of the four generations while the Baby Boomers scored the lowest. The respondents had a poor preference for participation in decision making on their diagnosis and treatment. They had a fair preference for participation in decision making on their laboratory tests but they had a good preference for participation in decision making on their self-care, complimentary or alternative medicine, and healthcare provider. They had a very good preference for participation in decision making on the psychosocial factors. The Baby Boomers scored the highest of the four generations, while the Generation Z scored the lowest. There was a significant difference in the perceptions on preference on health information. The Generation Z had a better preference on health information as compared to the Baby Boomers. Further, there was a significant difference in the perceptions for participation on decision making. The Baby Boomers, the Generation X, and the Generation Y are much better in terms of the perception of preferences for participation in decision making over the Generation Z. With the findings, a multi-generational health information and decision-making enhancement plan was created.
Downloads
References
Abdelwadoud, M., Huang, J., Villalonga-Olives, E., dosReis, S., Jansky, L., Mullins, C. D., Kusinitz, M., Ovelmen, H., & Ju, J. (2024). Women’s health
information-seeking experiences and preferences for health
communications on FDA-regulated products: A qualitative study in
urban area. International Journal of Environmental Research and Public
Health, 21, 321. https://doi.org/10.3390/ijerph21030321.
Becker, C., Gross, S., Gamp, M., Beck, K., Amacher, S. A., Mueller, J., Bohren, C.,
Blatter, R., Schaefert, R., Schuetz, P., Leuppi, J., Bassetti, S., & Hunziker, S. (2023). Patients’ preference for participation in medical decision-making: Secondary nalysis of the BEDSIDE-OUTSIDE Trial. Journal of General Internal Medicine, 38, 1180–1189. https://doi.org/10.1007/s11606-022-07775-z.
Birkeland, S., Bismark, M., Barry, M. J., et al. (2022). Is greater patient
involvement associated with higher satisfaction? Experimental evidence
from a vignette survey. BMJ Quality & Safety, 31, 86-93.
Chasiotis, A., Wedderhoff, O., Rosman, T., & Mayer, A.-K. (2020). Why do we
want health information? The goals associated with health information seeking (GAINS) questionnaire, Psychology & Health, 35(3), 255-274. https://doi.org/10.1080/08870446.2019.1644336.
Clark, M. (2020). What different generations want in healthcare.
https://etactics.com/blog/generations-in-healthcare#conclusion.
Clarke, M. A., Moore, J. L., Steege, L. M., Koopman, R. J., Belden, J. L., Canfield,
S. M., Meadows, S. E., Elliott, S. G., & Kim, M. S. (2016). Health
information needs, sources, and barriers of primary care patients to
achieve patient-centered care: A literature review. Health Informatics
Journal, 992–1016. https://doi.org/10.1177/1460458215602939.
Emana, D., Kitaba, M., Girma, T., lekassa, S., Regea, F., Dina, H., et al. (2023)
Patient engagement in decision making and associated factors among
outpatients with selected non-communicable chronic diseases in public
hospitals of West Shoa, Ethiopia. PLOS Global Public Health, 3(5),
e0000772. https://doi.org/10.1371/journal.pgph.0000772.
Frey, B. (2018). The SAGE encyclopedia of educational research, measurement, and
evaluation (Vols. 1-4). SAGE Publications, Inc. https://doi.org/10.4135/9781506326139.
Galletta, M., Piazza, M. F., Meloni, S. L., Chessa, E., Piras, I., Arnetz, J. E., &
D'Aloja, E. (2022). Patient involvement in shared decision-making: Do
patient’s rate physicians and nurses differently? International Journal of
Environmental Research and Public Health, 19(21), 14229.
https://doi.org/10.3390/ijerph192114229.
Gopal, S. (2021). Health care decisions by generation: How do patients differ?
https://rendia.com/resources/insights/health-care-decisions-generation-patients-differ/
Heath, S. (2016). Understanding generational differences in patient engagement.
While millennials may want more patient engagement through health IT,
members of the silent generation look for provider direction in their care.
https://patientengagementhit.com/news/understanding-generational-
differences-in-patient-engagement.
Integrated Healthcare Executive (2016). How generational factors impact patient
engagement. https://www.managedhealthcareconnect.com/article/how-generational-factors-impact-patient-engagement.
Kuosmanen, L., Hupli, M., Ahtiluoto, S., & Haavisto, E. (2021). Patient
participation in shared decision-making in palliative care - an integrative
review. Journal of Clinical Nursing, 30(23-24), 3415–3428. https://doi.org/10.1111/jocn.15866.
Makkar, N., Jain, K., Siddharth, V., & Sarkar, S. (2019). Patient involvement in
decision-making: An important parameter for better patient experience—
An observational study (STROBE compliant). Journal of Patient Experience,
-237. https://doi.org/10.1177/2374373518790043.
McCombes, S. (2020). Descriptive research. Scribbr.
Nuwagaba, J., Olum, R., Bananyiza, A., Wekha, G., Rutayisire, M., Agaba, K. K.,
Chekwech, G., Nabukalu, J., Nanyonjo, G. G., Namagembe, R., Nantongo, S., Lubwama, M., Besigye, I., & Kiguli, S. (2021). Patients’ involvement in decision-making during healthcare in a developing country: A cross-sectional study. Patient Prefer Adherence, 15, 1133-1140. https://doi.org/10.2147/PPA.S302784.
Oedekoven, M., Herrmann, W. J., Ernsting, C., Schnitzer, S., Kanzler, M.,
Kuhlmey, A., & Gellert, P. (2019). Patients’ health literacy in relation to
the preference for a general practitioner as the source of health
information. BMC Family Practice, 20, 94.
https://doi.org/10.1186/s12875-019-0975-y.
Okezue, O. C., Agbo, E. C., John, J. N., & John, D. O. (2023). Patient involvement
in medical decisions: a survey of shared decision making during physical
therapy consultations. Physiotherapy Theory and Practice, 39(4), 878–886.
https://doi.org/10.1080/09593985.2022.2029653.
Petripin, A. (2020). King’s Theory of Goal Attainment. Nursing Theory.
https://nursing-theory.org/theories-and-models/king-theory-of-goal-
attainment.php
Ringdal, M., Chaboyer, W., Ulin, K., Bucknall, T., & Oxelmark, L. (2017). Patient
preferences for participation in patient care and safety activities in hospitals. BMC Nursing, 16, 69. https://doi.org/10.1186/s12912-017-0266-7
Siouta, E., Olsson, U., & Waldréus, N. (2023). Nurses’ perceptions of patient
involvement in shared decision-making in cardiovascular care. Heliyon,
(12), e22890. https://doi.org/10.1016/j.heliyon.2023.e22890.
Rational Model of Decision Making. In: Farazmand A. (eds)
Global Encyclopedia of Public Administration, Public Policy, and Governance. Springer, Cham. https://doi.org/10.1007/978-3-319-31816-5_2474-1.
Varhol, R. J., Norman, R., Randall, S., Man Ying Lee, C., Trevenen, L., Boyd, J.
H., et al. (2023) Public preference on sharing health data to inform
research, health policy and clinical practice in Australia: A stated
preference experiment. PLoS ONE, 18(11), e0290528.
https://doi.org/10.1371/journal.pone.0290528.
Xie, B., Wang, M., & Feldman, R. (2011). Preferences for health information and
decision-making: Development of the Health Information Wants (HIW) Questionnaire. ACM International Conference Proceeding Series. 273-280. https://doi.org/10.1145/1940761.1940799.
Xie, B., Wang, M., Feldman, R., & Zhou, L. (2013). Internet use frequency and
patient-centered care: Measuring patient preferences for participation
using the health information wants questionnaire. Journal of Med Internet
Research, 15(7), e132. https://doi.org/10.2196/jmir.2615.
Xie, B., Su, Z., Liu, Y., Wang, M., & Zhang, M. (2017). Health information
sources for different types of information used by Chinese patients with
cancer and their family caregivers. Health Expectations, 20, 665–674.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Norhaynee D. Tamano, Joan P. Bacarisas, Resty L. Picardo Picardo, Jake C. Napoles

This work is licensed under a Creative Commons Attribution 4.0 International License.





























