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KMID : 0384320150360020103
Korean Journal of Family Medicine
2015 Volume.36 No. 2 p.103 ~ p.112
Changes in the Degree of Patient Expectations for Patient-Centered Care in a Primary Care Setting
Choi Chang-Jin

Hwang Sun-Wook
Kim Ha-Na
Abstract
Background: To date, the medical environment has been undergoing continual changes. It is therefore imperative that clinicians recognize the changing trends in the degree of patient expectations for patient-centered care. We conducted this study to examine changes in the degree of patient expectations for patient-centered care and the related socio-demographic factors in a primary care setting over a 5-year period.

Methods: We evaluated patients¡¯ attitudes toward patient-centered care using the Patient-Practitioner Orientation Scale, which provides ¡¯sharing¡¯ and ¡¯caring¡¯ scores. The study included 359 and 468 patients in phase I (March-July, 2005) and II (March-July, 2010). We also examined the relationship of their changes to their socio-demographic factors.

Results: In phase II, as compared with phase I, the ¡¯sharing¡¯ score was higher (3.67 ¡¾ 0.68 vs. 3.82 ¡¾ 0.44; P < 0.001) and ¡¯caring¡¯ one was lower (4.01 ¡¾ 0.57 vs. 3.67 ¡¾ 0.58; P = 0.001). Further, ¡¯sharing¡¯ and ¡¯caring¡¯ scores were associated with age, monthly income, education level, marital status, and the functional health status of patients.

Conclusion: These results would be of help for providing patient-centered care for patients because it makes clinicians are aware of the degree to which patients¡¯ expect it.
KEYWORD
Patients, Patient-Centered Care, Physician-Patient Relations, Primary Health Care
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