Table 2 Logistic regression analysis comparing socio-demographics and patients’ experiences during informed consent for surgery in public versus private hospital
Public hospital Mulago | Private hospital Nsambya | OR (univariable) | OR (multivariable) | ||
|---|---|---|---|---|---|
Sex | Female | 59 (55.1) | 48 (44.9) | - | - |
Male | 151 (55.1) | 123 (44.9) | 1.00 (0.64–1.57, p = 0.996) | 1.25 (0.67–2.34, p = 0.482) | |
Age group | 18–24 | 45 (60.0) | 30 (40.0) | - | - |
25–49 | 118 (51.5) | 111 (48.5) | 1.41 (0.83–2.41, p = 0.203) | 1.29 (0.63–2.68, p = 0.494) | |
50–64 | 36 (65.5) | 19 (34.5) | 0.79 (0.38–1.62, p = 0.526) | 0.54 (0.20–1.45, p = 0.225) | |
65 and above | 11 (50.0) | 11 (50.0) | 1.50 (0.57–3.94, p = 0.405) | 1.83 (0.44–7.76, p = 0.409) | |
Level of education | No formal education | 25 (73.5) | 9 (26.5) | - | - |
Primary | 71 (77.2) | 21 (22.8) | 0.82 (0.34–2.10, p = 0.670) | 0.84 (0.26–2.73, p = 0.762) | |
Secondary | 81 (54.4) | 68 (45.6) | 2.33 (1.05–5.59, p = 0.045) | 1.98 (0.68–6.08, p = 0.221) | |
tertiary | 33 (31.1) | 73 (68.9) | 6.14 (2.67–15.29, p < 0.001) | 2.99 (0.97–9.65, p = 0.060) | |
Did you sign a consent form? | No | 21 (63.6) | 12 (36.4) | - | - |
Yes | 189 (54.3) | 159 (45.7) | 1.47 (0.71–3.17, p = 0.306) | 1.53 (0.53–4.49, p = 0.434) | |
Did any of the emergency staff either a doctor or a nurse explain the consent form to you? | No | 82 (59.4) | 56 (40.6) | - | - |
Yes | 128 (52.7) | 115 (47.3) | 1.32 (0.86–2.01, p = 0.204) | 1.05 (0.53–2.07, p = 0.893) | |
Did you expect the consent form to be explained to you | No | 129 (69.0) | 58 (31.0) | - | - |
Yes | 81 (41.8) | 113 (58.2) | 3.10 (2.04–4.75, p < 0.001) | 3.35 (1.85–6.23, p < 0.001) | |
Were you told about the surgery OR procedure that was going to be done? | No | 12 (60.0) | 8 (40.0) | - | - |
Yes | 198 (54.8) | 163 (45.2) | 1.23 (0.50–3.22, p = 0.653) | 2.52 (0.60-10.14, p = 0.193) | |
Were you told the reason for the surgery? | No | 15 (62.5) | 9 (37.5) | - | - |
Yes | 195 (54.6) | 162 (45.4) | 1.38 (0.60–3.37, p = 0.454) | 1.12 (0.30–4.46, p = 0.866) | |
Were you told about what could go wrong during or following the surgery? | No | 170 (56.1) | 133 (43.9) | - | - |
Yes | 40 (51.3) | 38 (48.7) | 1.21 (0.74-2.00, p = 0.445) | 1.24 (0.62–2.51, p = 0.544) | |
Were you told about any other available alternatives to the surgery that was offered? | No | 192 (57.7) | 141 (42.3) | - | - |
Yes | 18 (37.5) | 30 (62.5) | 2.27 (1.23–4.30, p = 0.010) | 1.39 (0.60–3.32, p = 0.449) | |
Did you understand the information provided? | No | 26 (63.4) | 15 (36.6) | - | - |
Yes | 184 (54.1) | 156 (45.9) | 1.47 (0.76–2.93, p = 0.260) | 0.71 (0.27–1.90, p = 0.493) | |
Did you have the opportunity to ask questions? | No | 143 (65.6) | 75 (34.4) | - | - |
Yes | 67 (41.1) | 96 (58.9) | 2.73 (1.80–4.17, p < 0.001) | 1.02 (0.14–9.53, p = 0.985) | |
If yes, were your questions answered? | No | 145 (64.7) | 79 (35.3) | - | - |
Yes | 65 (41.4) | 92 (58.6) | 2.60 (1.71–3.97, p < 0.001) | 1.20 (0.13–8.63, p = 0.862) | |
Would you prefer to receive information from a nurse? | No | 69 (32.5) | 143 (67.5) | - | - |
Yes | 141 (83.9) | 27 (16.1) | 0.10 (0.06–0.16, p < 0.001) | 0.12 (0.05–0.29, p < 0.001) | |
Would you prefer to receive information from a doctor (surgeon or anaesthetist)? | No | 20 (17.4) | 95 (82.6) | - | - |
Yes | 190 (71.7) | 75 (28.3) | 0.08 (0.05–0.14, p < 0.001) | 0.18 (0.08–0.45, p < 0.001) | |
Would you prefer to receive information from both nurses and doctors? | No | 55 (52.4) | 50 (47.6) | - | - |
Yes | 155 (56.2) | 121 (43.8) | 0.86 (0.55–1.35, p = 0.508) | 1.33 (0.56–3.21, p = 0.513) |