본문 바로가기
KERD
논문KCI 등재

Changes in the Degree of Patient Expectations for Patient- Centered Care in a Primary Care Setting

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류가정의학

초록

Ba ckground: To date, the medical environment has been undergoing continual changes. It is thereforeimperative that clinicians recognize the changing trends in the degree of patient expectationsfor patient-centered care. We conducted this study to examine changes in the degree of patientexpectations for patient-centered care and the related socio-demographic factors in a primary caresetting over a 5-year period. Me thods: We evaluated patients’ attitudes toward patient-centered care using the Patient-PractitionerOrientation Scale, which provides ‘sharing’ and ‘caring’ scores. The study included 359 and468 patients in phase I (March–July, 2005) and II (March–July, 2010). We also examined therelationship of their changes to their socio-demographic factors. Re sults: In phase II, as compared with phase I, the ‘sharing’ score was higher (3.67 ± 0.68 vs. 3.82 ±0.44; P < 0.001) and ‘caring’ one was lower (4.01 ± 0.57 vs. 3.67 ± 0.58; P = 0.001). Further, ‘sharing’and ‘caring’ scores were associated with age, monthly income, education level, marital status, andthe functional health status of patients. Co nclusion: These results would be of help for providing patient-centered care for patients because itmakes clinicians are aware of the degree to which patients’ expect it.

Abstract

Ba ckground: To date, the medical environment has been undergoing continual changes. It is thereforeimperative that clinicians recognize the changing trends in the degree of patient expectationsfor patient-centered care. We conducted this study to examine changes in the degree of patientexpectations for patient-centered care and the related socio-demographic factors in a primary caresetting over a 5-year period. Me thods: We evaluated patients’ attitudes toward patient-centered care using the Patient-PractitionerOrientation Scale, which provides ‘sharing’ and ‘caring’ scores. The study included 359 and468 patients in phase I (March–July, 2005) and II (March–July, 2010). We also examined therelationship of their changes to their socio-demographic factors. Re sults: In phase II, as compared with phase I, the ‘sharing’ score was higher (3.67 ± 0.68 vs. 3.82 ±0.44; P < 0.001) and ‘caring’ one was lower (4.01 ± 0.57 vs. 3.67 ± 0.58; P = 0.001). Further, ‘sharing’and ‘caring’ scores were associated with age, monthly income, education level, marital status, andthe functional health status of patients. Co nclusion: These results would be of help for providing patient-centered care for patients because itmakes clinicians are aware of the degree to which patients’ expect it.

참고문헌 (28)

  1. Balint E., "The possibilities of patient-centered medicine", J R Coll Gen Pract, 17, pp.269~276 (1969)
  2. Henbest RJ, "Patient-centredness in the consultation. 1: A method for measurement", Fam Pract, 6, pp.249~253 (1989)
  3. Institute of Medicine, "Crossing the quality chasm: a new health system for the 21st century" (2001), National Academy Press
  4. Glickman SW, "Patient satisfaction and its relationship with clinical quality and inpatient mortality in acute myocardial infarction", Circ Cardiovasc Qual Outcomes, 3, pp.188~195 (2010)
  5. Kaplan SH, "Assessing the effects of physician-patient interactions on the outcomes of chronic disease", Med Care, 27(3 Suppl), pp.S110~S127 (1989)
  6. Meterko M, "Mortality among patients with acute myocardial infarction:the influences of patient-centered care and evidence-based medicine", Health Serv Res, 45(5 Pt 1), pp.1188~1204 (2010)
  7. Yellowlees P, "The psychiatrist-patient relationship of the future: anytime, anywhere?", Harv Rev Psychiatry, 18, pp.96~102 (2010)
  8. Siebzehner MI, "Doctor-patient relationship in the context of a changing society", Harefuah, 147, pp.1010~1015 (2008)
  9. Alden DL, "Young adult preferences for physician decision-making style in Japan and the United States", Asia Pac J Public Health, 24, pp.173~184 (2012)
  10. Rozenblum R, "The patient satisfaction chasm: the gap between hospital management and frontline clinicians", BMJ Qual Saf, 22, pp.242~250 (2013)
  11. Yellowlees P., "Your health in the information age: how you and your doctor can use the Internet to work together", pp.2008
  12. Grain H., "Health informatics: transforming healthcare with technology", pp.333~344 (2006), Thomson Social Science Press
  13. Jha AK, "Patients’ perception of hospital care in the United States", N Engl J Med, 359, pp.1921~1931 (2008)
  14. Stewart M, "Patient-centered medicine:transforming the clinical method", pp.117~130 (2003), Radcliffe Medical Press
  15. Krupat E, "The practice orientations of physicians and patients: the effect of doctor-patient congruence on satisfaction", Patient Educ Couns, 39, pp.49~59 (2000)
  16. Krupat E, "Patient role orientations, doctor-patient fit, and visit satisfaction", Psychol Health, 15, pp.707~719 (2000)
  17. 손인기, "의과대학생, 전공의, 전문의의 환자중심적 태도", 신경정신의학, 41(2), pp.290~297 (2002), 대한신경정신의학회
  18. 최창진, "임상실습을 마친 의대생의 환자 중심적 의사소통 기술과 태도", Korean Journal of Medical Education, 16(2), pp.169~177 (2004), 한국의학교육학회
  19. 문석우, "의과대학생들의 성격성향과 관련된 환자중심적 태도", Korean Journal of Medical Education, 18(1), pp.77~86 (2006), 한국의학교육학회
  20. 황선욱, "일차 의료기관을 이용하는 환자의 환자 중심적 태도", Korean Journal of Family Medicine, 27(12), pp.998~1004 (2006), 대한가정의학회
  21. Ford S, "Are patients’ decision-making preferences being met?", Health Expect, 6, pp.72~80 (2003)
  22. Dowsett SM, "Communication styles in the cancer consultation: preferences for a patient-centred approach", Psychooncology, 9, pp.147~156 (2000)
  23. Ogden J, "A questionnaire study of GPs’ and patients’ beliefs about the different components of patient centredness", Patient Educ Couns, 47, pp.223~227 (2002)
  24. Main CJ, "Addressing patient beliefs and expectations in the consultation.", Best Pract Res Clin Rheumatol, 24, pp.219~225 (2010)
  25. Krupat E, "When physicians and patients think alike: patient-centered beliefs and their impact on satisfaction and trust", J Fam Pract, 50, pp.1057~1062 (2001)
  26. Ash S, "A randomised control trial comparing lifestyle groups, individual counselling and written information in the management of weight and health outcomes over 12 months", Int J Obes (Lond), 30, pp.1557~1564 (2006)
  27. Chi CL, "Individualized patient-centered lifestyle recommendations: an expert system for communicating patient specific cardiovascular risk information and prioritizing lifestyle options", J Biomed Inform, 45, pp.1164~1174 (2012)
  28. Little P, "Preferences of patients for patient centred approach to consultation in primary care: observational study", BMJ, 322, pp.468~472 (2001)

관련 논문AI추천

이 간행물의 다른 논문 (8건)