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从社会文化视角看医学职业精神:评估马来西亚实习医生在医疗问诊过程中的交流态度。

Medical professionalism from a socio-cultural perspective: evaluating medical residents communicative attitudes during the medical encounter in malaysia.

作者信息

Ganasegeran K, Al-Dubai S A R

机构信息

International Medical School, Management and Science University, Shah Alam, Selangor, Malaysia.

出版信息

J Postgrad Med. 2014 Jan-Mar;60(1):12-5. doi: 10.4103/0022-3859.128799.

DOI:10.4103/0022-3859.128799
PMID:24625933
Abstract

CONTEXT

The practice of medicine requires good communication skills to foster excellent rapport in doctor patient relationship. Reports on communication skills learning attitude among medical professionals are key essentials toward improving patient safety and quality of care.

AIMS

We aimed to determine factors affecting communication skills learning attitudes among medical residents in Malaysia.

SETTINGS AND DESIGN

Cross-sectional survey, in a Malaysian public health hospital.

MATERIALS AND METHODS

A total of 191 medical residents across medical and surgical based rotations were included. We assessed the validated communication skills attitude scale among medical residents from different rotations.

STATISTICAL ANALYSIS

Statistical Package of Social Sciences (SPSS®) (version 16.0, IBM, Armonk, NY) was used. Cronbach's alpha was used to test the internal consistency of the scale. Descriptive analysis was conducted for all variables. Bivariate analysis was employed across the socio-demographic variables.

RESULTS

Majority of the residents believed that communication skills training should be made compulsory in Malaysia (78.5%). Medical residents agreed that acquiring good communication skills is essential to be a good doctor. However, the majority cited time pressures for not being able to learn communication skills. Significant differences in communication skills learning attitude scores were found between Malays and Chinese.

CONCLUSION

The majority of medical residents had a positive attitude toward communication skills learning. Socio-demographic factors influenced communication skills learning attitude among medical residents. Incorporating communicative skills modules during hospital Continuous Medical Education for medical residents is essential to cultivate communicative skills attitudes for effective doctor-patient relationship during the routine medical encounters.

摘要

背景

医学实践需要良好的沟通技巧,以在医患关系中建立良好的融洽关系。关于医学专业人员沟通技巧学习态度的报告是提高患者安全和护理质量的关键要素。

目的

我们旨在确定影响马来西亚住院医生沟通技巧学习态度的因素。

设置与设计

在马来西亚一家公共卫生医院进行横断面调查。

材料与方法

纳入了总共191名参与内外科轮转的住院医生。我们评估了不同轮转的住院医生中经过验证的沟通技巧态度量表。

统计分析

使用社会科学统计软件包(SPSS®)(版本16.0,IBM,纽约州阿蒙克)。使用Cronbach's alpha检验量表的内部一致性。对所有变量进行描述性分析。对社会人口统计学变量进行双变量分析。

结果

大多数住院医生认为在马来西亚应强制进行沟通技巧培训(78.5%)。住院医生一致认为,具备良好的沟通技巧是成为一名好医生的关键。然而,大多数人提到由于时间压力而无法学习沟通技巧。马来人和华人在沟通技巧学习态度得分上存在显著差异。

结论

大多数住院医生对沟通技巧学习持积极态度。社会人口统计学因素影响住院医生的沟通技巧学习态度。在医院住院医生继续医学教育期间纳入沟通技巧模块,对于在日常医疗接触中培养有效医患关系的沟通技巧态度至关重要。

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