의과대학 정신과 실습 학생의 환자중심적 태도와 관련 요인
The Study on Patient-Centeredness and Influencing Variables in Medical Students
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참고문헌
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초록
결론적으로 의과대학생들의 권위주의적인 성격성향은 MMPI나 MBTI의 일부 척도들과도 관련되었고 환자중심 적 태도와 상관이 있었으며 의사환자관계 관련 강의 수강 경험은 환자중심적인 태도와 연관이 있었다. 따라서 의과대 학생들의 성격성향을 정신과 임상실습에 접목시켜 환자중 심적인 태도를 견지해 나아가도록 도와줄 필요가 있겠다.
Abstract
Introduction：The practicing of patient-centered medical services means a change in the pattern of the nature of doctor-patient relationship. The doctor oriented relationship is now moving to the pattern that patients resolve problems autonomously and participate in the decision-making in medical services. Authors performed this study to investigate the patient centeredness and influencing variables in medical students. Methods：Authors recruited 94 medical students before psychiatric clinical clerkship and all subjects were assessed by structured questionales including socio-demographic data, frequency of receiving doctor-patient relationship lectures, Minnesota multiphasic personality inventory (MMPI), Meyers-Briggs type indicator (MBTI), the authoritarian personality scale (AP), job satisfaction scale (JS), patient practitioner orientation scale (PPOS), problem-solving decision-making scale (PSDM), and Beisecker locus of authority in decision-making scale (BLAS), and the questionnaire of JS, PPOS, PSDM, and BLAS were rechecked after psychiatric clinical clerkship. Results：After psychiatric clinical clerkship, the score of JS, PPOS were higher than before. The group who had a good memory for taking a doctor-patient relationship lecture showed higher scores of the BLAS and PSDM than unexposed group. The AP was related with MBTI, correlated with the subscale of MMPI, however, inversely correlated with PPOS after psychiatric clinical clerkship. Conclusion：The authoritarian personality trait was related not only with other personality trait including introversion and psychopathic deviation (Pd) but also with patient-centeredness. Taking a lecture in doctor-patient relationship is positively related to the patient-centeredness. (J Korean Neuropsychiatr Assoc 2006;45(4):363-371)
참고문헌 (30)
- "Isues in elderly patient-provider relationships", 9, pp.3~44 (1987)
- "Inovation in access to care:a patient -centered approach", 139, pp.568~574 (2003)
- "Effective physician-patient comunication and health outcomes:A review", 152, pp.1423~1433 (1995)
- "Treatment of diagnosis A study of repeat prescriptions in general practice" (1970), Lipincot
- "Comunicating with medical patients", pp.107~120 (1989), Patient-centered clinical interviewing
- "The strategy of patient-centered practice", 20, pp.1305~1312 (1999)
- "Patient-centered method", 20, pp.1291~1296 (1999)
- "The introduction to medicine II", pp.121~160 (1994), Seoul National Univ press
- "Four models of the physician-patient rela-tionship", 267, pp.2221~2226 (1992)
- "Deciphering the physician-older patient interaction", 27, pp.251~267 (1997)
- "Measuring patient-centerednes:a comparison of three observation-based instruments", 39, pp.71~80 (2000)
- "Patients participation in medical care:effects on blood sugar control and quality of life in diabetes", 3, pp.448~457 (1988)
- "Patient-centerednes in the consultation", pp.28~30
- "Prediction of outcome in headache pa-tients presenting to family physician", 26, pp.285~294 (1986)
- "Patient-centerednes and its correlates among first year medical students", 29, pp.347~356 (1999)
- "Preference of patients for patient centered approach to consultation in primary care:observational study", 322, pp.468~472 (2001)
- "Patient-centerednes in faculties,residents and medical students", 41, pp.290~297 (2002)
- "Patient-centered attitudes and comuni-cation skills in medical students after clerkship", 16, pp.169~ (2004)
- "Physician gender and the physician-patient relationship:Recent evidence and relevant questions", 20, pp.119~1127 (1985)
- "The practice orientations of physicians and patients:the effect of doctor-patient congruence on satisfaction", 39, pp.49~59 (2000)
- "정신과 실습학생 환자중심 태도", 45(4)
- "What role do patients wish to play in treatment decision making", 156, pp.1414~1420 (1996)
- "Authoritarian personality and social prejudice in university students", pp.146~168
- "Atti-tudes of medical students and primary care physicians regarding input of older and younger patients in medical decisions", 34, pp.126~137 (1996)
- "Love and work:an attachment theoretical per-spective", 59, pp.270~280 (1990)
- "The effect of work-family conflicts on the qualities of work and love relationships among male employees"
- "University of Florida department of clinical psychology", pp.124~136 (1973)
- "Development and application of MBTZ", pp.20~21 (1995), Korean Psychology Test Institute
- "The practical method of MHPZ" (1994)
- "The interpretation of MHPZ", pp.104~ (1996), Seoul National Uni-versity pres