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牙医对以患者为中心的护理的态度及其预测因素:韩国的一项横断面研究。

Dentists' attitudes toward patient-centered care and its predictors: a cross-sectional study in South Korea.

机构信息

Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.

Department of Public Health Sciences, Seoul National University, Seoul, South Korea.

出版信息

BMC Oral Health. 2023 Feb 6;23(1):75. doi: 10.1186/s12903-023-02791-9.

Abstract

BACKGROUND

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.

METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要

背景

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。

方法

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。

结果

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。

结论

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。

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