Determinants of patients’ attitudes toward patient-centered care: A cross-sectional study in Greece

Objective: To assess the attitudes of medical students toward patient-centered care and explore what the factorsthat influence these attitudes.Material and Method: A cross-sectional study was conducted in January 2015. A study population of 619 medicalstudents in their second to sixth academic year in Faculty of Medicine, Prince of Songkla University were invited toanswer the Patient-Practitioner Orientation Scale (PPOS) which was translated into Thai by back-translation withbilingual test and was used to assess the attitudes toward the doctor-patient relationship. The associations betweenthe PPOS score and the individual characteristics that included gender, academic year, grade point average(GPA), hometown, mean expenditure per month and residence during the study period were examined by using theindependent t-test, one-way ANOVA and multiple linear regression.Results: The total number of respondents was 520 (84.0%). The mean (S.D.) overall PPOS score was 3.8 (0.4).From multiple linear regression analysis, there were three factors that were significantly associated with the PPOSscore: gender, academic year and GPA (p-value<0.050). Hometown, mean expenditure per month and residenceduring the study period were not significantly different.Conclusions: Female medical students, higher academic year and a higher GPA had greater positive attitudes towardpatient-centered care.

Download Full-text

The Utilization of Phone Communication with Patient Companions During a Pandemic

Journal of Patient Experience ◽

10.1177/23743735211065280 ◽

2021 ◽

Vol 8 ◽

pp. 237437352110652

Author(s):

Weilin Song ◽

Aleksandra V. Rachitskaya

Keyword(s):

Medical Record ◽

Surgical Intervention ◽

Patient Centered Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Critical Aspect ◽

Clinical Workflow ◽

Patient Centered ◽

Cross Sectional ◽

Centered Care

Involvement of companions is a critical aspect of patient-centered care. This retrospective cross-sectional study examined patients who were asked, by utilizing electronic medical record (EMR) preset questions (SmartPhrase template), if they wanted another individual called during the assessment and plan portion of an ophthalmology visit. Of 518 patients, 14.5% wanted another individual called. New patients as well as those who needed procedural or surgical intervention were more likely to want a companion called. Adoption of a SmartPhrase template within clinical workflow may be a feasible and effective method to increase communication with companions of physically unaccompanied patients and promote patient-centered care.

Download Full-text

Attitudes of medical students in Pakistan toward the doctor-patient relationship

10.7287/peerj.preprints.606 ◽

2014 ◽

Author(s):

Waqas Ahmad ◽

Edward Krupat ◽

Yumna Asmaa ◽

Noor-E- Fatima ◽

Rayan Attique ◽

...

Keyword(s):

Medical Students ◽

Patient Centered Care ◽

Cross Sectional Study ◽

Individual Characteristics ◽

Patient Relationship ◽

Doctor Patient Relationship ◽

Patient Centered ◽

Cross Sectional ◽

Centered Care ◽

Academic Year

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. 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 4th 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 2nd academic year, divorced, having a local origin and belonging to a Govt. college (p<0.05). Gender and having doctor parents had no bearing, statistically, on the attitudes. 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.

Download Full-text

Experiences of Patient-Centered Care Among Japanese and Australian Cancer Outpatients: Results of a Cross-Sectional Study

Journal of Patient Experience ◽

10.1177/23743735211007690 ◽

2021 ◽

Vol 8 ◽

pp. 237437352110076

Author(s):

Mariko L Carey ◽

Megumi Uchida ◽

Alison C Zucca ◽

Toru Okuyama ◽

Tatsuo Akechi ◽

...

Keyword(s):

Side Effects ◽

Care Delivery ◽

International Comparisons ◽

Patient Centered Care ◽

Cross Sectional Study ◽

Patient Centered ◽

Cross Sectional ◽

Centered Care ◽

Improvement Interventions ◽

Quality Improvement Interventions

There have been few international comparisons of patient-centered cancer care delivery. This study aimed to compare the experiences of patient-centered care (PCC) of Japanese and Australian radiation oncology patients. Participants were adults with cancer attending a radiotherapy appointment at a Japanese or Australian clinic. Participants completed a survey asking about 10 indicators of PCC. Overall, 259 Japanese and 285 Australian patients participated. Compared with Japanese participants, Australian participants were significantly more likely to report receiving information about: what the treatment is, and the short-term and long-term side effects of treatment. A higher proportion of Australian participants reported being asked whether they wanted a friend or family member present at the consultation. There were no differences in the frequency with which Japanese and Australian participants were asked by their clinicians about whether they were experiencing physical side effects or emotional distress. International differences highlight the (1) need to exercise caution when generalizing from one country to another; and (2) the importance of context in understanding PCC delivery and the subsequent design of quality improvement interventions.

Download Full-text

Attitudes of medical students in Pakistan toward the doctor-patient relationship

10.7287/peerj.preprints.606v1 ◽

2014 ◽

Author(s):

Waqas Ahmad ◽

Edward Krupat ◽

Yumna Asmaa ◽

Noor-E- Fatima ◽

Rayan Attique ◽

...

Keyword(s):

Medical Students ◽

Patient Centered Care ◽

Cross Sectional Study ◽

Individual Characteristics ◽

Patient Relationship ◽

Doctor Patient Relationship ◽

Patient Centered ◽

Cross Sectional ◽

Centered Care ◽

Academic Year

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. 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 4th 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 2nd academic year, divorced, having a local origin and belonging to a Govt. college (p<0.05). Gender and having doctor parents had no bearing, statistically, on the attitudes. 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.

Download Full-text

Perception of pharmacy students towards their community pharmacy training experience: a cross-sectional study from Jordan

BMC Medical Education ◽

10.1186/s12909-021-02596-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Rana Abu Farha ◽

Eman Elayeh ◽

Needa Zalloum ◽

Tareq Mukattash ◽

Eman Alefishat ◽

...

Keyword(s):

Positive Feedback ◽

Cross Sectional Study ◽

Pharmacy Education ◽

Pharmacy Students ◽

Sectional Study ◽

Training Experience ◽

Patient Centered ◽

Cross Sectional ◽

Positive Attitudes ◽

Need To Evaluate

Abstract Background The fact that pharmacists are in the front line of patients’ care gives a great responsibility to focus on education and training of pharmacy students to build a ‘patient-centered’ clinicians. Unfortunately, pharmacy education in the developing countries, have been lagging behind actual practice delivered by pharmacists. This highlighted the need to evaluate the perceptions of undergraduate pharmacy students regarding their current pharmacy training practices and experiences. Methods This is a cross-sectional study that was conducted in Jordan during the period from August 2018 to October 2018. During the study period, a questionnaire was distributed to pharmacy students to collect information regarding 1) pharmaceutical care services provided by them during their experiential training, 2) their perceptions towards training sites, 3) their perceptions of the outcomes of their training experience, 4) information about their training site and 5) their demographics characteristics. Results A total of 202 pharmacy students responded to the questionnaire. The majority of them reported having the opportunity to dispense refill or new prescriptions (73.8%, n = 149), and conduct patient interviews (69.8%, n = 141, but they were not provided good opportunities to create electronic patient profiles using the information obtained (53.0%, n = 107), perform required dose calculations based on patient information (37.6%, n = 76), and interact with other healthcare professionals (34.6%, n = 70). In addition, students showed positive attitudes toward training sites, positive feedback about the outcomes of their training experience (median scores range between 4 and 5 for all statements (IQR = 1 for all)). Conclusion Students showed positive feedback about the outcomes of their training experience, but they felt that the selected training sites do not have adequate resources to meet their training competencies. Memorandums of understanding development is needed to specify the purpose of training and define the responsibility for both parties of the training process.

Download Full-text

Practices and Perceptions of Family Centered Care among Healthcare Providers: A Cross-sectional Study in a Pediatric Hospital

Journal of Pediatric Nursing ◽

10.1016/j.pedn.2018.07.015 ◽

2018 ◽

Vol 43 ◽

pp. e18-e25 ◽

Cited By ~ 7

Author(s):

Immacolata Dall'Oglio ◽

Michela Di Furia ◽

Emanuela Tiozzo ◽

Orsola Gawronski ◽

Valentina Biagioli ◽

...

Keyword(s):

Healthcare Providers ◽

Cross Sectional Study ◽

Family Centered Care ◽

Pediatric Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Centered Care ◽

Family Centered

Download Full-text

Patients’ perceptions about medical students’ involvement in their health care at a teaching hospital in Jordan: A cross sectional study (Preprint)

10.2196/preprints.27870 ◽

2021 ◽

Author(s):

Hana Taha ◽

Jawaher Khaled Al Saqer ◽

Noora Rashed Al Harbi ◽

Rand Nidal Younis ◽

Fatma Dawoud Al Dawoud ◽

...

Keyword(s):

Medical Students ◽

Teaching Hospital ◽

Disease Status ◽

Cross Sectional Study ◽

University Hospital ◽

Sectional Study ◽

Patient Centered ◽

Cross Sectional ◽

Perceptions And Attitudes ◽

Structured Questionnaire

BACKGROUND Medical students’ involvement in patients’ care varies due to patient’s willingness, as some consider it as an invasion of their privacy and exposure of their disease status. Thus, exploring patients' perceptions and attitudes towards this interaction should be thoroughly investigated. OBJECTIVE To better understand the attitude of Jordanian patients towards the presence of medical students’ during their consultations and provide evidence-based data to improve the training of future doctors. METHODS A cross-sectional study was conducted at the Jordan University Hospital using a structured questionnaire to interview 420 patients from the out-patients’ clinics of the departments; Internal Medicine, Obstetrics and Gynecology, Pediatrics, and Surgery. Descriptive and multivariate data analysis was conducted using SPSS (version 25.0). RESULTS Of the patients interviewed, 94% were aware that they were in a teaching hospital, 92% approved the existence of medical students’ during their consultation and 80% accepted to be observed and examined by medical student in the presence of a senior doctor. Almost 83% of the patients believed that their consent should be obtained first and 58% of them indicated that the students asked for consent prior to interacting with them. Around 64% of the participants indicated that the maximum acceptable number of students during the consultation should not exceed 2-3, 64% had no preferred gender to interact with and 59% had no preferred training year. CONCLUSIONS Patients showed an overall positive stance towards the involvement of medical students’ in their healthcare. The majority were delighted to see medical students’ while some expressed concerns over their privacy due to the large number of students and because some do not ask for their consent. It is essential to apply medical ethics practices together with patient centered approach.

Download Full-text