Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.
Department of Public Health Sciences, Seoul National University, Seoul, South Korea.
BMC Oral Health. 2023 Feb 6;23(1):75. doi: 10.1186/s12903-023-02791-9.
Patient-centered care (PCC) has been one of medical practice's most frequently discussed principles. However, attitudes toward PCC among dentists remain underexplored. This study focuses on examining dentists' patient-centered attitudes and investigating their predictors.
The Patient-Practitioner Orientation Scale which consists of Sharing and Caring subscales was used to assess patient-centered attitudes. The statistical analysis included 217 dentists from South Korea. Hierarchical linear regression analysis was performed to examine the predictors such as sociodemographic aspects, academic factors, work-related factors, and empathy.
A patient-centered attitude of Caring subscale (M = 4.29, SD = 0.56) emerged, but the provider-centered attitude was higher in Sharing subscale (M = 3.40, SD = 0.48). Work year, academic track, and empathy were associated significantly with an overall caring aspect of patient-centered attitude, while the gender effect remained insignificant. Empathy had a critical and significant impact on the patient-centered attitude.
Efforts to enhance patient-centeredness in Sharing are needed; post-graduate education and transition to a more patient-centered health system are recommended. Moreover, empathy still matters as it was found to be a significant predictor of patient-centered attitudes. The findings of this study support the need for efforts to enhance patient-centered attitudes among dentists, which will help generate discussion on improving the curriculum of post-graduate education and health system reform.
以患者为中心的医疗(PCC)是医学实践中讨论最多的原则之一。然而,牙医对 PCC 的态度仍未得到充分探索。本研究专注于检查牙医的以患者为中心的态度,并调查其预测因素。
使用包含共享和关怀两个分量表的患者-医生取向量表来评估以患者为中心的态度。统计分析包括来自韩国的 217 名牙医。采用分层线性回归分析来检查社会人口统计学方面、学术因素、工作相关因素和同理心等预测因素。
出现了关怀分量表(M=4.29,SD=0.56)的以患者为中心的态度,但共享分量表的提供者中心态度更高(M=3.40,SD=0.48)。工作年限、学术轨迹和同理心与以患者为中心的关怀态度的整体方面显著相关,而性别效应仍然不显著。同理心对以患者为中心的态度具有关键和显著的影响。
需要努力加强共享方面的以患者为中心;建议进行研究生教育和向更以患者为中心的医疗系统过渡。此外,同理心仍然很重要,因为它是患者为中心的态度的重要预测因素。本研究的结果支持努力增强牙医的以患者为中心的态度,这将有助于讨论改进研究生教育课程和医疗系统改革。