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Factors related to medical students’ and doctors’ attitudes towards older patients: a systematic review

BACKGROUND: studies have sought to identify the possible determinants of medical students’ and doctors’ attitudes towards older patients by examining relationships with a variety of factors: demographic, educational/training, exposure to older people, personality/cognitive and job/career factors. Th...

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Autores principales: Samra, Rajvinder, Cox, Tom, Gordon, Adam Lee, Conroy, Simon Paul, Lucassen, Mathijs F G, Griffiths, Amanda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5860378/
https://www.ncbi.nlm.nih.gov/pubmed/28472444
http://dx.doi.org/10.1093/ageing/afx058
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author Samra, Rajvinder
Cox, Tom
Gordon, Adam Lee
Conroy, Simon Paul
Lucassen, Mathijs F G
Griffiths, Amanda
author_facet Samra, Rajvinder
Cox, Tom
Gordon, Adam Lee
Conroy, Simon Paul
Lucassen, Mathijs F G
Griffiths, Amanda
author_sort Samra, Rajvinder
collection PubMed
description BACKGROUND: studies have sought to identify the possible determinants of medical students’ and doctors’ attitudes towards older patients by examining relationships with a variety of factors: demographic, educational/training, exposure to older people, personality/cognitive and job/career factors. This review collates and synthesises these findings. METHODS: an electronic search of 10 databases was performed (ABI/Inform, ASSIA, British Nursing Index, CINAHL, Informa Health, Medline, PsycINFO, Science Direct, Scopus, and Web of Science) through to 7 February 2017. RESULTS: the main search identified 2,332 articles; 37 studies met the eligibility criteria set. All included studies analysed self-reported attitudes based on correlational analyses or difference testing, therefore causation could not be determined. However, self-reported positive attitudes towards older patients were related to: (i) intrinsic motivation for studying medicine, (ii) increased preference for working with older patients and (iii) good previous relationships with older people. Additionally, more positive attitudes were also reported in those with higher knowledge scores but these may relate to the use of a knowledge assessment which is an indirect measure of attitudes (i.e. Palmore's Facts on Aging Quizzes). Four out of the five high quality studies included in this review reported more positive attitudes in females compared to males. CONCLUSION: this article identifies factors associated with medical students’ and doctors’ positive attitudes towards older patients. Future research could bring greater clarity to the relationship between knowledge and attitudes by using a knowledge measure which is distinct from attitudes and also measures knowledge that is relevant to clinical care.
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spelling pubmed-58603782018-03-21 Factors related to medical students’ and doctors’ attitudes towards older patients: a systematic review Samra, Rajvinder Cox, Tom Gordon, Adam Lee Conroy, Simon Paul Lucassen, Mathijs F G Griffiths, Amanda Age Ageing Systematic Review BACKGROUND: studies have sought to identify the possible determinants of medical students’ and doctors’ attitudes towards older patients by examining relationships with a variety of factors: demographic, educational/training, exposure to older people, personality/cognitive and job/career factors. This review collates and synthesises these findings. METHODS: an electronic search of 10 databases was performed (ABI/Inform, ASSIA, British Nursing Index, CINAHL, Informa Health, Medline, PsycINFO, Science Direct, Scopus, and Web of Science) through to 7 February 2017. RESULTS: the main search identified 2,332 articles; 37 studies met the eligibility criteria set. All included studies analysed self-reported attitudes based on correlational analyses or difference testing, therefore causation could not be determined. However, self-reported positive attitudes towards older patients were related to: (i) intrinsic motivation for studying medicine, (ii) increased preference for working with older patients and (iii) good previous relationships with older people. Additionally, more positive attitudes were also reported in those with higher knowledge scores but these may relate to the use of a knowledge assessment which is an indirect measure of attitudes (i.e. Palmore's Facts on Aging Quizzes). Four out of the five high quality studies included in this review reported more positive attitudes in females compared to males. CONCLUSION: this article identifies factors associated with medical students’ and doctors’ positive attitudes towards older patients. Future research could bring greater clarity to the relationship between knowledge and attitudes by using a knowledge measure which is distinct from attitudes and also measures knowledge that is relevant to clinical care. Oxford University Press 2017-11 2017-05-02 /pmc/articles/PMC5860378/ /pubmed/28472444 http://dx.doi.org/10.1093/ageing/afx058 Text en © The Author 2017 Published by Oxford University Press on behalf of the British Geriatrics Society. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Systematic Review
Samra, Rajvinder
Cox, Tom
Gordon, Adam Lee
Conroy, Simon Paul
Lucassen, Mathijs F G
Griffiths, Amanda
Factors related to medical students’ and doctors’ attitudes towards older patients: a systematic review
title Factors related to medical students’ and doctors’ attitudes towards older patients: a systematic review
title_full Factors related to medical students’ and doctors’ attitudes towards older patients: a systematic review
title_fullStr Factors related to medical students’ and doctors’ attitudes towards older patients: a systematic review
title_full_unstemmed Factors related to medical students’ and doctors’ attitudes towards older patients: a systematic review
title_short Factors related to medical students’ and doctors’ attitudes towards older patients: a systematic review
title_sort factors related to medical students’ and doctors’ attitudes towards older patients: a systematic review
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5860378/
https://www.ncbi.nlm.nih.gov/pubmed/28472444
http://dx.doi.org/10.1093/ageing/afx058
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