Medical students' attitudes toward patient-centred care: a longitudinal survey (original) (raw)
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Attitudes of medical students in Pakistan toward the doctor-patient relationship
2014
Background. We initiated this study with the aim to assess the leaning of medical students towards either a doctor-centered or a patient-centered care and explore the effects of personal attributes on it like gender, academic year etc. of the students. Methods. A cross-sectional study was conducted between July-Sep 2013. CMH Lahore Medical and Dental College Ethical Review Committee approved the study questionnaire. The study population consisted of 1274 medical students in years 1-5 from two medical colleges. English version of PPOS was used to assess attitudes of medical students towards doctor-patient relationship. The relationship between PPOS scores and individual characteristics like gender, academic year etc. were examined by using Independent t-test and one way ANOVA. Results. A total of 792 students formed the final sample. Characteristics associated with most patient-centered attitudes were being in 4 th academic year, married, being a foreigner and belonging to a Private college (p<0.05). Characteristics associated with most doctor-centered attitudes were being in 2 nd academic year, divorced, having a local origin and belonging to a Govt. college (p<0.05). Gender and having doctor parents had no bearing on the attitudes (p>0.05). Conclusion. Despite ongoing debate and emphasis on a patient-centered curriculum, our study suggests that current curriculum and its teachings are not producing the results they are designed to achieve. Students should be adequately exposed to the patients from the beginning of their medical education in clinical settings which are more sympathetic to a patient-centered care.
Medical student attitudes toward the doctor-patient relationship
Medical Education, 2002
Background: The desire to help others is stated as a primary motivation for pursuing a career in the medical professions. Patient-centered care refers to the focus of the practitioner on the condition from the patient's perspective and seeing the patient as a whole person, independent of the condition. The concept of patient-centered care provides an organizing framework for helping others during real-world interactions between practitioner and patient. Medical educators have emphasized the importance of teaching patient-centred care. Objectives To describe and quantify the attitudes of medical students towards patient-centred communication and to examine: (a) the differences in these attitudes between students in early and later years of medical school; and (b) factors associated with patient-centred attitudes.
Physicians' religiosity and attitudes towards patients
Annals of agricultural and environmental medicine : AAEM, 2012
Many religions underline the value of merciful acts, especially the care of the sick. The aim of the survey was to verify the hypothesis that a higher religiosity correlates with a more desirable ethical attitude towards patients. An anonymous questionnaire consisting of standardized tools: Scale of Attitudes towards the Patient (SAtP) (four dimensions: respect for autonomy, altruism, empathy and holistic approach to a patient), the Scale of Religious Attitudes (SReAt) evaluating the religiosity, and some questions related to the role of religious beliefs in respondents' professional lives. The research was carried out on a group of 528 Polish physicians, 324 of whom returned the questionnaire (return = 61%); 51% women, 49% men; average work experience: 17.03 years; 93% Catholics. Religiosity correlates positively with altruism (r=0.12; p<0.05), holistic approach (r=0.18; p<0.01) and empathy (r=0.20; p<0.01), but not with respect for autonomy. For the majority of physic...
Changing on Patient-Centred Attitudes on Same Students Group: A Qualitative Study
Objective: Study aimed to clarify the effect of educational activities on same students in their pre-med students and medical students standing point about patient centred care. Methods: The PPOS questionnaire used to examine patient-centredness and has been used in pre-med student and medical student samples. We surveyed students in their first month in undergraduate medical education following their enrolment in 2010. Three years later in 2013-2014 educational year same group included to same questionnaire, when they are 4th year students. Same 128 students filled questionnaire forms in two different years. The survey utilized the patients practitioners orientation scale (PPOS) to measure students' changing attitudes. Results: 59% of respondents were female and mean age was 18.52 in their 1st year. In total PPOS scores were 55.58 for Year 4 students and 62.41 for Year 1 students. We found that sharing and caring domains scores lowered when students finished their basic medical science education including empathy, communication and ethics lectures. Conclusion: Despite encouraging patient-centred attitudes of undergraduate medical students by curricular models, our findings showed that in their further level, students became less patient centred. Depending on respondents' score, curriculum organisers should recheck their curricular aim and educational program or activities. Feedback in medical education can be accepted as " specific information about the students' perception and attitudes ". These findings give great information concerning effectiveness of program on specific areas with the clues to improve the program' performance " .
MEDICAL STUDENT ATTITUDES TOWARD THE DOCTOR–PATIENT COMMUNICATION
Background: The desire to help others is stated as a primary motivation for pursuing a career in the medical professions. Patient-centered care refers to the focus of the practitioner on the condition from the patient's perspective and seeing the patient as a whole person, independent of the condition. The concept of patient-centered care provides an organizing framework for helping others during real-world interactions between practitioner and patient. Medical educators have emphasized the importance of teaching patient-centred care. Objectives To describe and quantify the attitudes of medical students towards patient-centred communication and to examine: (a) the differences in these attitudes between students in early and later years of medical school; and (b) factors associated with patient-centred attitudes. Methods: We surveyed 107 students from University of Medicine and Pharmacy ''Iuliu Haţieganu'' Cluj-Napoca (42 students from pre-clinical, 18 from 3 rd year and 47 students from clinical years of medical school). Our survey utilized the Patient–Practitioner Orientation Scale (PPOS), an instrument designed to measure individual preferences towards various aspects of the doctor-patient relationship. Total PPOS scores can range from patient-centred (egalitarian, whole person oriented) to disease-or doctor-centred (paternalistic, less attuned to psychosocial issues). Additional demographic data including gender, age, family medical background and specialty choice were collected. Results: There were statistically significant differences in student attitudes toward patient-centered care between the students in preclinical and clinical years. Conclusion: Our data suggest that students in later years of medical school have attitudes that are less doctor centred or paternalistic compared to students in earlier years.
Patient-centred attitudes among medical students in Mali, West Africa: a cross-sectional study
BMJ open, 2018
Patient-centred attitudes have been shown to decline during medical training in high-income countries, yet little is known about attitudes among West African medical students. We sought to measure student attitudes towards patient-centredness and examine validity of the 18-item Patient-Practitioner Orientation Scale (PPOS) in this context. 430 medical students in years 1, 3, 5 and 6 of a 6-year medical training programme in Bamako, Mali. We conducted a cross-sectional survey, compared the proportion of students who agreed with each PPOS item by gender and academic year, and calculated composite PPOS scores. To examine psychometrics of the PPOS and its two subscales ('sharing' and 'caring'), we calculated internal consistency (Cronbach's alpha) and performed confirmatory and exploratory factor analyses (CFA and EFA). In seven of the nine 'sharing' items, the majority of students held attitudes favouring a provider-dominant style. For five of the nine '...
Focus on Health Professional Education: A Multi-Professional Journal
Introduction: Previous studies have shown that patient-centredness may become eroded as students progress through medical training. The primary objective of this study was to explore the differences in patient-centred attitudes between first- and final-year students in the context of an Australian medical school. The secondary objective was to determine whether student factors such as age, gender, background (rural/urban), discipline of previous degree and specialty of interest were associated with patient-centred attitudes. Methods: This cross-sectional study surveyed 214 first-year and 141 final-year Australian medical students in 2016 and 2017 (total n = 355). Score on the Patient–Practitioner Orientation Scale (PPOS) was the main outcome measure. Results: Anonymous questionnaires were completed by 355 students (76.2%). Mean PPOS score was 4.51 (SD 0.46). Although there was no difference in mean PPOS between first-year and fourth-year students, female respondents were significant...
Attitudes of Family Medicine Trainees Towards Patient-Centeredness Practice
International Journal of General Medicine
The interaction between physicians and patients is essential in clinical practice. Patient-centered care (PCC) is becoming popular in healthcare and provides an approach to deliver high-quality healthcare to yield positive clinical outcomes. This study explores family medicine residents' attitudes toward the physician-patient relationship and patient-centered care and the possible influence of demographic characteristics, level of training, school of graduation, and previous training. Methods: A cross-sectional study was conducted among family medicine residents in Riyadh. They were invited to enroll in a webbased survey that includes demographic data, training details, and the "Patient Practitioner Orientation Scale (PPOS).". Results: A total of 114 family medicine residents completed the survey. There were 68 (59.6%) males and 46 (40.4%) female residents. The overall PPOS was 4.23 ± 0.53. The mean score for sharing domain was 3.97 ± 0.66. The caring domain scored 4.49 ± 0.57. No correlations were found between the residents' demographic data and other included variables, and the means of sharing domain, caring domain, and overall score. Conclusion: Family medicine residents were found to have positive attitudes toward patient-centeredness. Integrating patientcentered training early in the curriculum can improve healthcare students' and trainees' attitudes toward patient-centered care. Future research can explore the possible interventions in systematic assessment and training programs that can improve PCP.