Department of Medical Education, School of Medicine, Pusan National University, Busan, South Korea.
Department of Lifelong Education and Counseling, Pukyong National University, Busan, South Korea.
Front Public Health. 2021 Nov 16;9:658220. doi: 10.3389/fpubh.2021.658220. eCollection 2021.
The patient-doctor relationship has evolved from early paternalism to a consumerism and partnership model that emphasizes cooperation. Patient-doctor relationships might vary with the socio-cultural environment, because the medical environment affects such relationships. We investigated the patient-doctor relationship among medical students through concept mapping analysis. Twenty-six fourth-grade Korean medical students wrote a reflection journal and participated in the concept classification and the importance evaluation of the derived concept. ALSCAL multidimensional scaling and Ward hierarchical cluster analysis were performed. Also, the 5-point Likert scale was used to evaluate the importance of the concept. Sixty-six statements about the patient-doctor relationship were extracted and grouped into six clusters. The x-axis is the dimension of "Information-Respect," and the y-axis is "Changeability-Persistence." Six patient-doctor concepts were derived and students evaluated "Patient-centered" as the most important. Medical students express various concepts of the patient-doctor relationship. Considering that they may encounter various medical conditions and patients, it is necessary that they understand deeply the complex patient-doctor relationship.
医患关系已经从早期的家长式作风演变为强调合作的消费主义和伙伴关系模式。医患关系可能因社会文化环境而异,因为医疗环境会影响这种关系。我们通过概念映射分析研究了医学生中的医患关系。26 名四年级韩国医学生写了一篇反思日记,并参与了衍生概念的概念分类和重要性评估。进行了 ALSCAL 多维标度和 Ward 层次聚类分析。此外,还使用 5 点李克特量表评估了概念的重要性。提取了 66 条关于医患关系的陈述,并将其分为六个聚类。x 轴是“信息-尊重”的维度,y 轴是“可变性-持久性”。得出了六个医患概念,学生们将“以患者为中心”评为最重要的概念。医学生表达了医患关系的各种概念。考虑到他们可能会遇到各种医疗情况和患者,因此他们需要深刻理解复杂的医患关系。