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KMID : 1104220170290010033
Korean Journal of Medical Education
2017 Volume.29 No. 1 p.33 ~ p.39
Medical students¡¯ and patients¡¯ perceptions of patient-centred attitude
Hur Ye-Ra

Cho A-Ra
Choi Chang-Jin
Abstract
Purpose: Patient-centred care can increase patient satisfaction and lead to better clinical outcomes for them, such as improved physical status and higher health-related quality of life. However, doctors¡¯ and patients¡¯ views on patient-centred attitude might differ and could be affected by culture and the community environment. To clarify the differences in primary care patients¡¯ and senior medical students¡¯ perceptions of medical students¡¯ patient-centred attitude.

Methods: A total of 1,025 subjects?827 patients from primary care institutions and 198 fourth-year medical students from a medical college in South Korea?completed the Patient Practitioner Orientation Scale (PPOS). The students completed the self-reported questionnaire at the end of their clinical clerkship. Descriptive statistics, t-tests, and one-way analysis of variances were conducted in SPSS version 21.0.

Results: Firstly, sharing subscale scores were higher among patients than among medical students (students, 3.61 vs. patients, 3.76; p<0.001), but secondly, caring subscale scores were higher among medical students (students, 4.18 vs. patients, 3.82; p<0.001). Thirdly, PPOS total scores were higher among medical students (students, 3.90 vs. patients, 3.79; p=0.001). Finally, male students had the lowest sharing scores (F=6.811, p<0.001) and female students showed the highest PPOS total scores (F=5.805, p=0.001).

Conclusion: Significant differences between medical students¡¯ and patients¡¯ perceptions of medical students¡¯ patient-centred attitudes suggest the necessity of educational efforts to overcome the gap between the groups.
KEYWORD
Physician-patient relations, Clinical education, Professional development
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