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Gender differences on medical students’ attitudes toward patient-centred care: a cross-sectional survey conducted in Heilongjiang, China

OBJECTIVES: Assessing medical students’ attitudes toward patient-centred care is essential to bettering medical education. Based on doctor-patient relationships and the medical system in China, it is important to explore the impact of gender differences and other background factors on patient-centre...

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Autores principales: Liu, Wei, Hao, Yanhua, Zhao, Xiaowen, Peng, Tao, Song, Weijian, Xue, Yuxin, Tao, Siyi, Kang, Zheng, Ning, Ning, Gao, Lijun, Cui, Yu, Liang, Libo, Wu, Qunhong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PeerJ Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815647/
https://www.ncbi.nlm.nih.gov/pubmed/31660273
http://dx.doi.org/10.7717/peerj.7896
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author Liu, Wei
Hao, Yanhua
Zhao, Xiaowen
Peng, Tao
Song, Weijian
Xue, Yuxin
Tao, Siyi
Kang, Zheng
Ning, Ning
Gao, Lijun
Cui, Yu
Liang, Libo
Wu, Qunhong
author_facet Liu, Wei
Hao, Yanhua
Zhao, Xiaowen
Peng, Tao
Song, Weijian
Xue, Yuxin
Tao, Siyi
Kang, Zheng
Ning, Ning
Gao, Lijun
Cui, Yu
Liang, Libo
Wu, Qunhong
author_sort Liu, Wei
collection PubMed
description OBJECTIVES: Assessing medical students’ attitudes toward patient-centred care is essential to bettering medical education. Based on doctor-patient relationships and the medical system in China, it is important to explore the impact of gender differences and other background factors on patient-centred attitudes and to provide references for medical education reform. METHODS: A cross-sectional study was conducted on fourth-year medical undergraduate students from November 2017 to March 2018 in Heilongjiang Province, Northeast China. The Chinese-revised Patient-Practitioner Orientation Scale (CR-PPOS), which has been validated in previous research, was used to measure the medical students’ attitudes. The medical students’ demographic data was collected, including their gender, age, information on whether they have siblings, family residence location, doctor(s) for parents, year in which the student first experienced clinical practice, and student category. RESULTS: A total of 513 students (91.12%) completed the survey. The Chinese medical students scored considerably higher for ‘Caring’ (including patients’ preferences into the decision-making process) than for ‘Sharing’ (sharing information/responsibility with patients). These students tended to have patient-centred attitudes, as measured by an average overall CR-PPOS score of 3.63 (scores higher than 3.5 indicate patient-centred attitudes), which is higher than Malian (3.38) and Pakistani (3.40) medical students but lower than American (4.57) and Brazilian (4.66) students. Female students (P < 0.05) were significantly associated with more patient-centred attitudes and with higher ‘Sharing’ and ‘Caring’ subscale scores. Student category (P < 0.05) was associated with ‘Sharing’ and ‘Caring’ scores. Clinical hospital students (P < 0.05) were associated with more patient-centred attitudes and with higher ‘Sharing’ and ‘Caring’ subscale scores, Students without siblings (p < 0.07) were associated with the higher ‘Sharing’ subscale scores. CONCLUSIONS: In China, gender has a significant impact on medical students’ patient-centred attitudes, which is similar to findings from other countries. If medical schools want to raise patient-centred attitudes across the board and bridge the gap between male and female patient-centred attitudes, gender, student category, and other factors should be incorporated into medical education.
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spelling pubmed-68156472019-10-28 Gender differences on medical students’ attitudes toward patient-centred care: a cross-sectional survey conducted in Heilongjiang, China Liu, Wei Hao, Yanhua Zhao, Xiaowen Peng, Tao Song, Weijian Xue, Yuxin Tao, Siyi Kang, Zheng Ning, Ning Gao, Lijun Cui, Yu Liang, Libo Wu, Qunhong PeerJ Health Policy OBJECTIVES: Assessing medical students’ attitudes toward patient-centred care is essential to bettering medical education. Based on doctor-patient relationships and the medical system in China, it is important to explore the impact of gender differences and other background factors on patient-centred attitudes and to provide references for medical education reform. METHODS: A cross-sectional study was conducted on fourth-year medical undergraduate students from November 2017 to March 2018 in Heilongjiang Province, Northeast China. The Chinese-revised Patient-Practitioner Orientation Scale (CR-PPOS), which has been validated in previous research, was used to measure the medical students’ attitudes. The medical students’ demographic data was collected, including their gender, age, information on whether they have siblings, family residence location, doctor(s) for parents, year in which the student first experienced clinical practice, and student category. RESULTS: A total of 513 students (91.12%) completed the survey. The Chinese medical students scored considerably higher for ‘Caring’ (including patients’ preferences into the decision-making process) than for ‘Sharing’ (sharing information/responsibility with patients). These students tended to have patient-centred attitudes, as measured by an average overall CR-PPOS score of 3.63 (scores higher than 3.5 indicate patient-centred attitudes), which is higher than Malian (3.38) and Pakistani (3.40) medical students but lower than American (4.57) and Brazilian (4.66) students. Female students (P < 0.05) were significantly associated with more patient-centred attitudes and with higher ‘Sharing’ and ‘Caring’ subscale scores. Student category (P < 0.05) was associated with ‘Sharing’ and ‘Caring’ scores. Clinical hospital students (P < 0.05) were associated with more patient-centred attitudes and with higher ‘Sharing’ and ‘Caring’ subscale scores, Students without siblings (p < 0.07) were associated with the higher ‘Sharing’ subscale scores. CONCLUSIONS: In China, gender has a significant impact on medical students’ patient-centred attitudes, which is similar to findings from other countries. If medical schools want to raise patient-centred attitudes across the board and bridge the gap between male and female patient-centred attitudes, gender, student category, and other factors should be incorporated into medical education. PeerJ Inc. 2019-10-24 /pmc/articles/PMC6815647/ /pubmed/31660273 http://dx.doi.org/10.7717/peerj.7896 Text en ©2019 Liu et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ) and either DOI or URL of the article must be cited.
spellingShingle Health Policy
Liu, Wei
Hao, Yanhua
Zhao, Xiaowen
Peng, Tao
Song, Weijian
Xue, Yuxin
Tao, Siyi
Kang, Zheng
Ning, Ning
Gao, Lijun
Cui, Yu
Liang, Libo
Wu, Qunhong
Gender differences on medical students’ attitudes toward patient-centred care: a cross-sectional survey conducted in Heilongjiang, China
title Gender differences on medical students’ attitudes toward patient-centred care: a cross-sectional survey conducted in Heilongjiang, China
title_full Gender differences on medical students’ attitudes toward patient-centred care: a cross-sectional survey conducted in Heilongjiang, China
title_fullStr Gender differences on medical students’ attitudes toward patient-centred care: a cross-sectional survey conducted in Heilongjiang, China
title_full_unstemmed Gender differences on medical students’ attitudes toward patient-centred care: a cross-sectional survey conducted in Heilongjiang, China
title_short Gender differences on medical students’ attitudes toward patient-centred care: a cross-sectional survey conducted in Heilongjiang, China
title_sort gender differences on medical students’ attitudes toward patient-centred care: a cross-sectional survey conducted in heilongjiang, china
topic Health Policy
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815647/
https://www.ncbi.nlm.nih.gov/pubmed/31660273
http://dx.doi.org/10.7717/peerj.7896
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