지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 139 - 147 (9page)
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Purpose: Patient-centered care is one of the most important factors of high-quality medical care. Medical educators have been increasingly interested in education for patient–centered care. This study was conducted to guide such education by assessing the patient-centeredness of medical students in a real patient encounter and a standardized patient encounter on the clinical performance examination (CPX).
Methods: During the first semester of 2010 and 2011, fourth-year medical students in a clinical clerkship interviewed outpatients who visited the Department of Family Medicine. The interviews were videotaped, 25 of which were selected for study. We searched the 25 students’ CPX videotapes that were recorded in the same year for comparison. The patient-centeredness of the students was assessed by measure of patient-centered communication (MPCC).
Results: The inter-rater reliability of the MPCC was 0.89 when measuring real patient encounters. MPCC scores of 25 students were very low for both real patients (mean, 28.8; range, 8.2~53.1) and for standardized patients (mean, 27.5; range, 8.2~52.7),and there was no significant difference between two groups. The component 1 MPCC scores were significantly higher for real patient encounters compared with those of CPX encounters (0.28 vs 0.18, p=0.0001). The component 2, 3 MPCC scores of two groups were not different each other.
Conclusion: Medical educators must emphasize the importance of exploring a patient’s illness and social background and involving them in making a diagnosis and treatment plan for patient-centered care. They should give students more opportunities to interview real patients and diversify scenarios for standardized patients.
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참고문헌 (20)
참고문헌 신청
Baliant M / 1970 / Treatment or diagnosis: a study of repeat prescriptions in general practice / J.B. Lippincott
Bertakis KD / 2009 / Patient-centered communication in primary care: physician and patient gender and gender concordance / J Womens Health (Larchmt) 18 : 539 ~ 545
Brown JB / 2001 / Assessing communication between patients and physicians: the measure of patient-centred communication / Centre for Studies in Family Medicine
Epstein RM / 2005 / Patient-centered communication and diagnostic testing / Ann Fam Med 3 : 415 ~ 421
Haidet P / 2002 / Medical student attitudes toward the doctor-patient relationship / Med Educ 36 : 568 ~ 574
Bertakis KD / 2009 / Patient-centered communication in primary care: physician and patient gender and gender concordance / J Womens Health (Larchmt) 18 : 539 ~ 545
Brown JB / 2001 / Assessing communication between patients and physicians: the measure of patient-centred communication / Centre for Studies in Family Medicine
Epstein RM / 2005 / Patient-centered communication and diagnostic testing / Ann Fam Med 3 : 415 ~ 421
Haidet P / 2002 / Medical student attitudes toward the doctor-patient relationship / Med Educ 36 : 568 ~ 574
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