title: Shared clinical decision making. A Saudi Arabian perspective.
abstract: OBJECTIVE
  To determine preferences of patients regarding their involvement in the clinical decision making process and the related factors in Saudi Arabia.
  
  
  METHODS
  This cross-sectional study was conducted in a major family practice center in King Abdulaziz Medical City, Riyadh, Saudi Arabia, between March and May 2012. Multivariate multinomial regression models were fitted to identify factors associated with patients preferences.
  
  
  RESULTS
  The study included 236 participants. The most preferred decision-making style was shared decision-making (57%), followed by paternalistic  (28%), and informed consumerism (14%). The preference for shared clinical decision making was significantly higher among male patients and those with higher level of education, whereas paternalism was significantly higher among older patients and those with chronic health conditions, and consumerism was significantly higher in younger age groups. In multivariate multinomial regression analysis, compared with the shared group, the consumerism group were more likely to be female [adjusted odds ratio  (AOR) =2.87, 95% confidence interval [CI] 1.31-6.27, p=0.008] and non-dyslipidemic (AOR=2.90, 95% CI: 1.03-8.09, p=0.04), and the paternalism group were more likely to be older (AOR=1.03, 95% CI: 1.01-1.05, p=0.04), and female (AOR=2.47, 95% CI: 1.32-4.06, p=0.008).
  
  
  CONCLUSIONS
  Preferences of patients for involvement in the clinical decision-making varied considerably. In our setting, underlying factors that influence these preferences identified in this study should be considered and tailored individually to achieve optimal treatment outcomes.
authors.affiliation: Department of Family Medicine, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia. E-mail. alhaqwi@gmail.com.
authors.forename: Ali I
authors.initials: AI
authors.lastname: AlHaqwi
authors.forename: Turki M
authors.initials: TM
authors.lastname: AlDrees
authors.forename: Ahmad
authors.initials: A
authors.lastname: AlRumayyan
authors.forename: Ali I
authors.initials: AI
authors.lastname: AlFarhan
authors.forename: Sultan S
authors.initials: SS
authors.lastname: Alotaibi
authors.forename: Hesham I
authors.initials: HI
authors.lastname: AlKhashan
authors.forename: Motasim
authors.initials: M
authors.lastname: Badri
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D003657:Decision Making; D004522:Educational Status; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D026706:Paternalism; D010358:Patient Participation; D010817:Physician-Patient Relations; D012529:Saudi Arabia; D055815:Young Adult