The Operating Room Global Journal (TORGJ)

Cite:

• APA (7th edition): Owokole, A. A., Nyirigira, G., Ogundare, J., & Sanaullah, A. (2025). A Delphi survey of healthcare providers’ perspectives on patient involvement and satisfaction in surgical decision-making in low- and middle-income countries (LMICs). The Operating Room Global Journal (TORGJ), 1(1). https://doi.org/10.64573/torgj2507003
• Harvard: Owokole, A.A., Nyirigira, G., Ogundare, J. and Sanaullah, A., 2025. A Delphi survey of healthcare providers’ perspectives on patient involvement and satisfaction in surgical decision-making in low- and middle-income countries (LMICs). The Operating Room Global Journal (TORGJ), 1(1). Available at: https://doi.org/10.64573/torgj2507003
• Vancouver: Owokole AA, Nyirigira G, Ogundare J, Sanaullah A. A Delphi survey of healthcare providers’ perspectives on patient involvement and satisfaction in surgical decision-making in low- and middle-income countries (LMICs). The Operating Room Global Journal (TORGJ). 2025;1(1). https://doi.org/10.64573/torgj2507003
• MLA (9th edition): Owokole, Adebusola Adenike, et al. “A Delphi Survey of Healthcare Providers’ Perspectives on Patient Involvement and Satisfaction in Surgical Decision-Making in Low- and Middle-Income Countries (LMICs).” The Operating Room Global Journal (TORGJ), vol. 1, no. 1, 2025, https://doi.org/10.64573/torgj2507003
• Chicago (Author–Date): Owokole, Adebusola Adenike, Gaston Nyirigira, Johnson Ogundare, and Asjed Sanaullah. 2025. “A Delphi Survey of Healthcare Providers’ Perspectives on Patient Involvement and Satisfaction in Surgical Decision-Making in Low- and Middle-Income Countries (LMICs).” The Operating Room Global Journal (TORGJ) 1 (1). https://doi.org/10.64573/torgj2507003

Corresponding Authors:
Adebusola Adenike Owokole
[email protected],
Gaston Nyirigira
[email protected],
Johnson Ogundare
[email protected],
Asjed Sanaullah
[email protected].
Declaration:
Authors’ Contribution: All authors equally contributed to the study and approved the final manuscript.
Conflict of Interest:
No conflict of interest
Funding:
No funding received by the authors.

Article History:

Received: 09-07-2025 Accepted: 14-08-2025

Available Online : 19-08-2025

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ABSTRACT

Background: Patient involvement in surgical decision-making is increasingly recognized as a cornerstone of patient-centered care, yet evidence from low- and middle-income countries (LMICs) remains limited. Understanding healthcare providers’ perceptions of patient participation, satisfaction, and the role of technology in these settings is essential to inform practice and policy. Methods: A Delphi survey was conducted on The Operating Room Global (TORG) platform with 184 healthcare professionals, including surgeons, nurses, anesthesiologists, and allied staff from 12 LMICs. The survey explored frequency, challenges, and determinants of patient involvement in surgical decision-making, as well as satisfaction levels and technology utilization. Quantitative data were analyzed using descriptive statistics, and qualitative responses underwent narrative analysis. Results: Most respondents reported frequent patient involvement in surgical decision-making (34.6% often; 31.4% very often), with influencing factors including physician recommendations (59.1%), treatment options (61.0%), and patients’ medical history (54.6%). Key barriers included lack of patient education materials (63.0%), time constraints (57.1%), language barriers (50.7%), and cultural differences (50.7%). Preoperative counseling was the predominant method of assessing patient understanding (86.4%), whereas decision aids were underutilized (36.6%). Patient satisfaction was generally positive, with 67.9% satisfied or very satisfied, though 30.6% reported neutral or negative experiences. Technology, particularly online resources (45.1%) and telemedicine (16.4%), emerged as facilitators of patient engagement. Conclusion: Patient involvement in surgical decision-making is valued but inconsistently practiced across LMICs. Addressing systemic barriers such as language and cultural gaps, expanding educational resources, and integrating decision aids and digital health tools can enhance patient-centered surgical care and satisfaction. Keywords: Patient Involvement; Surgical Decision-Making; Patient Satisfaction; Decision Aids; Low- And Middle-Income Countries; Delphi Survey.