MEDICAL STUDENT ATTITUDES TOWARD THE DOCTOR–PATIENT RELATIONSHIP
| Main Author: | Dr. Nabeel Saleem, Dr. Mohsin Saeed, Dr. Dilawar Sher |
|---|---|
| Format: | Article |
| Bahasa: | eng |
| Terbitan: |
, 2018
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| Subjects: | |
| Online Access: |
https://zenodo.org/record/1461893 |
Daftar Isi:
- Context Medical educators have emphasized the im-portance of teaching patient-centred care. Objectives To describe and quantify the attitudes of medical students towards patient-centred care 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 673 students in the first, third, and fourth years of medical school. Our survey utilized the Patient–Practitioner Orientation Scale (PPOS), a validated 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, ethnicity, undergraduate course-work, family medical background and specialty choice were collected from the fourth year class. Results A total of 510 students (76%) completed data collection. Female gender (P < 0Æ001) and earlier year of medical school (P 1⁄4 0Æ03) were significantly associated with patient-centred attitudes. Among fourth year students (n 1⁄4 89), characteristics associ-ated with more patient-centred attitudes included female gender, European-American ethnicity, and pri-mary-care career choice (P < 0Æ05 for each compar-ison). Conclusion Despite emphasis on the need for curricula that foster patient-centred attitudes among medical students, our data suggest that students in later years of medical school have attitudes that are more doctor-centred or paternalistic compared to students in earlier years. Given the emphasis placed on patient satisfaction and patient-centred care in the current medical envi-ronment, our results warrant further research and dialogue to explore the dynamics in medical education that may foster or inhibit student attitudes toward patient-centred care. Keywords: Attitude; curriculum; delivery of health care; *doctor–patient relations; education, medical, undergraduates, *methods; patient-centred care; patient-centred satisfaction.