Department of Family and Community Medicine, Jefferson Medical College, 1015 Walnut Street, Suite 401 Curtis, Philadelphia, Pennsylvania 19107, USA.
Med Educ. 2009 Nov;43(11):1044-6. doi: 10.1111/j.1365-2923.2009.03517.x.
This study set out to estimate the prevalence of any mismatch between medical students' perceptions of patients' health beliefs and those of a normative group of primary care patients.
A Perception of Health Scale, normed on 314 primary care patients and including four reproducible subscales based on Health Belief Model constructs, was distributed to 500 medical students in Years 3 and 4 at a private US medical school. The students were asked to indicate how a 'typical' patient they had seen with a preceptor or on a rotation might have answered. Responses were scored as matching or not matching the normative data. Group comparisons were made for gender, year of graduation, age and planned specialty.
Depending on the subscale, at least 75% of the students' responses did not match those of the normative patient group. There were no consistent group differences.
The findings suggest that medical students do not accurately perceive what patients believe about their own health. Whether this is true for residents and providers in practice remains unknown.
本研究旨在评估医学生对患者健康信念的认知与一组常规初级保健患者的认知之间是否存在差异。
在一所美国私立医学院的 3、4 年级的 500 名医学生中，发放了经过 314 名初级保健患者检验并包含基于健康信念模型结构的四个可重复子量表的健康感知量表。学生们被要求指出他们在带教医生或实习期间遇到的“典型”患者可能会如何回答。将回答与规范数据进行匹配或不匹配的评分。按性别、毕业年份、年龄和计划专业进行组间比较。
根据子量表的不同，至少有 75%的学生的回答与规范患者组不匹配。没有一致的组间差异。
研究结果表明，医学生不能准确地感知患者对自己健康的看法。这在实际工作中的住院医师和提供者中是否成立仍不得而知。
