Meeting Abstracts of the 3rd International Scientific Conference of Primary Care: Interprofessional teamwork and quality in health care

Background: Chronic kidney disease (CKD) is a progressive illness requiring complex, life-altering decisions regarding long-term treatment such as hemodialysis (HD).These decisions significantly impact a patient's quality of life [1].Shared decision making (SDM), a collaborative process between patients and healthcare providers, is a cornerstone of patientcentered care that promotes autonomy, engagement, and trust [2,3].However, SDM remains underutilized in many public healthcare settings in the Philippines [4].Understanding its impact on decisional readiness and satisfaction is crucial for enhancing service delivery under Universal Health Care.The objective of this study is to determine the impact of SDM on decisional readiness and satisfaction among CKD patients undergoing hemodialysis at Southern Isabela Medical Center (SIMC).Materials and methods: An analytical cross-sectional study was conducted from September to October 2024.Validated Tagalog versions of the SDM-Q-9 questionnaire [3], the DECISIONS survey [5], and the Department of Health's Healthcare Consumer Experience Survey (HCES) tool [6] were administered to HD patients at SIMC.Descriptive statistics, Pearson product-moment correlation, and chi-square tests were used for analysis.Results: A total of 108 CKD patients undergoing HD participated.Respondents demonstrated high SDM scores and reported outstanding satisfaction with healthcare services.No significant association was observed between SDM and satisfaction (r = 0.111, p = 0.253).However, SDM was significantly associated with decisional readiness (r = 0.204, p = 0.035).A strong association was also noted between decisional readiness and satisfaction (OR = 3.47, 95% CI: 2.563-4.688,p = 0.009).Patients with formal education had significantly higher odds of reporting outstanding satisfaction compared to those without formal education (OR = 11.6,95% CI: 4.6-16.2,p < 0.001).Conclusions: This study highlights a significant positive relationship between SDM and decisional readiness among CKD patients on hemodialysis.Patients who engaged in SDM were more confident and better prepared to make informed healthcare decisions.In turn, higher decisional readiness was strongly associated with greater satisfaction with care, emphasizing its mediating role.These findings support integrating SDM into routine practice, especially in resourcelimited settings.Strengthening patient education and SDM practices may enhance engagement, foster trust, and improve care outcomes for patients with chronic illness [2,3].