Medical Studentsʼ Attitudes toward Patient-centered Care and Standardized Patientsʼ Perceptions of Humanism

Haidet, Paul; Dains, Joyce E.; Paterniti, Debora A.; Chang, Ta‐Chau; Tseng, Eric; Rogers, John C.

doi:10.1097/00001888-200110001-00015

Cited by 45 publications

(42 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Sixty-three articles were retained to be read completely; 20 additional references were identifi ed by a hand search, and 7 were included as a result of experts' suggestions. Of these 90 articles, 64 were excluded: 23 addressed a concept other than patient-centered care and did not measure at least 2 dimensions of the conceptual framework ; 11 reported on instruments assessing physicians' or nurses' perceptions [55][56][57][58][59][60][61][62][63][64][65] ; 19 did not deal with quantitative instruments [21][22][66][67][68][69][70][71][72][73][74][75][76][77][78][79][80][81][82] ; 7 were not relevant to an ambulatory family medicine context (6 in an inpatient context [83][84][85][86][87][88] and 1 in specialty medicine 89 ); 1 measured relations between the patient and the nurse specifi cally 79 ; 1 described an instrument designed to evaluate staff (very general questions) 90 ; and 2 did not provide suffi cient information on the development and validation of the instrument. 91,92 A fi nal sample of 26 articles (Table 1) was retained for data extra...…”

Section: Articles Included In the Reviewmentioning

confidence: 99%

Measuring Patients' Perceptions of Patient-Centered Care: A Systematic Review of Tools for Family Medicine

Hudon¹,

Fortin²,

Haggerty³

et al. 2011

The Annals of Family Medicine

275

250

View full text Add to dashboard Cite

PURPOSE Patient-centered care is widely acknowledged as a core value in family medicine. In this systematic review, we aimed to identify and compare instruments, subscales, or items assessing patients' perceptions of patient-centered care in family medicine. METHODSWe conducted a systematic literature review using the MEDLINE, Embase, and Cochrane databases covering 1980 through April 2009, with a specifi c search strategy for each database. The search strategy was supplemented with searching by hand and expert suggestions. We looked for articles meeting all of the following criteria: (1) describing self-administered instruments measuring patient perceptions of patient-centered care; (2) reporting quantitative or psychometric results of development or validation; (3) being relevant to an ambulatory family medicine context. The quality of each article retained was assessed using a modifi ed version of the Standards for Reporting of Diagnostic Accuracy. Instrument' items were mapped to dimensions of a patient-centered care conceptual framework. RESULTSOf the 3,045 articles identifi ed, 90 were examined in detail, and 26, covering 13 instruments, met our inclusion criteria. Two instruments (5 articles) were dedicated to patient-centered care: the Patient Perception of Patient-Centeredness and the Consultation Care Measure, and 11 instruments (21 articles) included relevant subscales or items. CONCLUSIONSThe 2 instruments dedicated to patient-centered care address key dimensions but are visit-based, limiting their applicability for the study of care processes over time, such as chronic illness management. Relevant items from the 11 other instruments provide partial coverage of the concept, but these instruments were not designed to provide a specifi c assessment of patient-centered care.

show abstract

Section: Articles Included In the Reviewmentioning

confidence: 99%

Measuring Patients' Perceptions of Patient-Centered Care: A Systematic Review of Tools for Family Medicine

Hudon¹,

Fortin²,

Haggerty³

et al. 2011

The Annals of Family Medicine

275

250

View full text Add to dashboard Cite

show abstract

“…In spite of this well documented finding, however, medical schools do comparatively little to educate their students about communication skills, humanistic attitudes, and professional values (Haidet et al 2001(Haidet et al , 2002 compared to the time and attention given to teaching biomedical subjects. In fact, several observers have commented that through the hidden curriculum, medical schools may unintentionally teach their students negative lessons in both their pre-clerkship (Hafferty 1998) and clerkship years (Haidet 2002).…”

Section: Introductionmentioning

confidence: 99%

“…

AbstractBackground: The doctor-patient relationship is essencial to medical care (Engel 1980;Balint 1984), however, medical schools focus mainly on biomedical subjects and don't give the necessary attention to communication skills, humanistic attitudes, and professional values (Haidet et al 2001(Haidet et al , 2002. Methods: Attitudes of medical students towards the doctor-patient relationship have been examined and the Patient-Practitioner Orientation Scale (PPOS) has been used to measure students' and practitioners' patient-centered beliefs, first in USA (Haidet et al 2002), and then in several other countries (Choi & Moon 2005;Tsimtsiou et al 2005;Shankar et al 2006).

…”

mentioning

confidence: 99%

Brazilian medical students’ attitudes towards patient-centered care

2007

View full text Add to dashboard Cite

Background: The doctor-patient relationship is essencial to medical care (Engel 1980;Balint 1984), however, medical schools focus mainly on biomedical subjects and don't give the necessary attention to communication skills, humanistic attitudes, and professional values (Haidet et al. 2001(Haidet et al. , 2002. Methods: Attitudes of medical students towards the doctor-patient relationship have been examined and the Patient-Practitioner Orientation Scale (PPOS) has been used to measure students' and practitioners' patient-centered beliefs, first in USA (Haidet et al. 2002), and then in several other countries (Choi & Moon 2005;Tsimtsiou et al. 2005;Shankar et al. 2006). This study aimed to examine the attitudes of Brazilian medical students towards the doctor-patient relationship by using the PPOS. The scale was translated into Portuguese and was administered to approximately 800 students in their first, fifth, seventh, ninth, tenth and twelfth semesters of medical school along with a socio-demographic questionnaire. Results: A total of 738 students (>90%) completed data collection. For the entire cohort, female gender (p < 0.000), later semester in medical school (p < 0.000), primary-care specialty choice (p < 0.02) and lower familial income (p < 0.03) were significantly associated with more patient-centered attitudes. Sharing sub-scores, measuring beliefs about power and information between physician and patient, were significantly more patient-centered for twelfth semester male students than for first semester males (p < 0.000), but not for female students. Caring sub-scores, which measure beliefs about attending to patient's emotions and lifestyle, did not change with the years of school. In general, Caring scores were considerably higher than Sharing scores. Total PPOS scores in Brazil are comparable to those found among medical students in the United States, however they are considerably higher than PPOS total scores in Nepal, Greece, and Korea. Conclusions: Communication skills and patient care needs to be critically examined by Brazilian teachers and students aiming to change attitudes toward the doctor-patient relationship to be more patient-centered attitudes.

show abstract

“…While patient-centeredness has not been studied in residency, evidence from medical schools suggests students become less patient centered, especially in the sharing domain, as they progress through medical school. 3,12,13 Research by Tsimtsiou et al 13 suggests that students, struggling to develop confidence in their own clinical skills, may be less comfortable sharing information with patients and families. This was not found in the pediatrics residents in our study.…”

Section: Discussionmentioning

confidence: 99%

“…9 The reliability and validity of the scale to assess self-perceived centeredness in patients, medical students, and primary care physicians have been assessed in several studies reported in the literature. [10][11][12] The experimental group of first-year residents completed the PPOS in June 2009 before beginning residency. At the same time the third-year graduating class, whose members had not been exposed to a PFCC curriculum, also completed the PPOS.…”

Section: Outcome Measurementioning

confidence: 99%

The Effect of a Patient- and Family-Centered Care Curriculum on Pediatrics Residents' Patient-Centeredness

Mann¹,

Hoffman²,

Miller³

et al. 2013

Journal of Graduate Medical Education

View full text Add to dashboard Cite

Background Patient- and family-centered care (PFCC) approaches to care are important in enhancing the patient-centeredness of the health care experience, yet little is known about the effectiveness of formal approaches for teaching patient-centeredness in residency. Intervention We developed and implemented a PFCC curriculum and assessed its impact on residents' self-perceptions of patient-centered behavior and practices. Methods We used a quasi-experimental, nonrandomized approach with a pretest-posttest design. An experimental group of 24 interns filled out the Patient Practitioner Orientation Scale (PPOS) before residency, and a control group of 18 graduating residents who had not been exposed to a PFCC curriculum also completed the PPOS. After 2 years of residency and exposure to a PFCC curriculum, interns in the experimental group repeated the PPOS. We compared mean total and subscale PPOS scores. Results There was no difference in baseline total or subscale PPOS scores between the experimental and control group. The mean total PPOS score for the experimental group after exposure to the curriculum was 4.55 (P = .45), reflecting no change in patient-centeredness. The 17 female interns in the intervention group were more patient centered (4.8 ± 0.36) than the 6 male interns (4.2 ± 0.38) (P = .005), scoring significantly higher (4.6 ± 0.39 versus 4.0 ± 0.38) in the sharing domain (P = .001). Conclusion Interns' exposure to a PFCC curriculum did not result in a change in their perceived patient-centeredness. Most pediatrics residents at our children's hospital perceive themselves as patient and family centered at the start of residency and remain so throughout.

show abstract

Medical Studentsʼ Attitudes toward Patient-centered Care and Standardized Patientsʼ Perceptions of Humanism

Cited by 45 publications

References 6 publications

Measuring Patients' Perceptions of Patient-Centered Care: A Systematic Review of Tools for Family Medicine

Measuring Patients' Perceptions of Patient-Centered Care: A Systematic Review of Tools for Family Medicine

Brazilian medical students’ attitudes towards patient-centered care

The Effect of a Patient- and Family-Centered Care Curriculum on Pediatrics Residents' Patient-Centeredness

Contact Info

Product

Resources

About