约旦一家教学医院患者对医学生参与其医疗保健的认知与态度：一项横断面研究
Patient's Perceptions and Attitudes Towards Medical Student's Involvement in Their Healthcare at a Teaching Hospital in Jordan: A Cross Sectional Study.
作者信息
Taha Hana Ahmad, Al Saqer Jawaher Khaled, Al Harbi Noora Rashed, Younis Rand Nidal, Al Dawoud Fatma, Nawaiseh Mohammed Bassam, Berggren Vanja
机构信息
Department of Pharmacology, Public Health, and Clinical Skills, Faculty of Medicine, The Hashemite University, Zarqa, 13133, Jordan.
Department of Family and Community Medicine, School of Medicine, The University of Jordan, Amman, 11942, Jordan.
出版信息
Patient Prefer Adherence. 2023 Mar 13;17:629-641. doi: 10.2147/PPA.S396035. eCollection 2023.
BACKGROUND
Medical students' involvement in patients' care varies according to patient's willingness, as some might consider it a privacy invasion. Thus, exploring patients' perceptions and attitudes towards this interaction should be thoroughly investigated, to better understand it and to provide evidence-based data for improving the training of future doctors.
METHODS
A cross-sectional study was conducted at Jordan University Hospital. A questionnaire was answered by 420 patients from the out-patients' clinics.
RESULTS
Of the patients interviewed, 94% were aware that they were in a teaching hospital, 92% approved the presence of medical students during their consultation and 80% accepted to be observed and examined by medical students in the presence of a senior doctor. However, this decreased to 30.5% if there was no senior doctor. Almost 83% of the patients believed that their consent should be obtained first. However, only 58% of them indicated that the student asked for consent prior to interacting with them. Patients who were more likely to approve the existence of medical students during consultation and allow students to perform procedures on them, respectively, were those who were asked for consent by students ( = 0.001 and = 0.021), considered seeing medical students' enjoyable ( < 0.001 and < 0.001), thought that their privacy was not violated ( < 0.001 and < 0.001), and were provided with useful information about their health problems ( < 0.001 and < 0.001).
CONCLUSION
Patients showed an overall positive stance towards the involvement of medical students in their healthcare. The majority were delighted to see medical students while some expressed concerns over their privacy due to the large number of students and because several students do not ask for their consent. It is essential to apply medical ethics practices together with patient-centered approach.
背景
医学生参与患者护理的情况因患者的意愿而异，因为有些人可能认为这是对隐私的侵犯。因此，应深入研究患者对这种互动的看法和态度，以便更好地理解并为改进未来医生的培训提供循证数据。
方法
在约旦大学医院进行了一项横断面研究。420名门诊患者回答了一份问卷。
结果
在接受访谈的患者中，94%知道自己身处教学医院，92%认可医学生在其会诊期间在场，80%接受在有资深医生在场的情况下被医学生观察和检查。然而，如果没有资深医生，这一比例降至30.5%。近83%的患者认为应首先获得他们的同意。然而，其中只有58%表示学生在与他们互动之前征求了同意。在会诊期间更有可能认可医学生在场并允许学生对其进行操作的患者分别是那些被学生征求同意的患者（P = 0.001和P = 0.021）、认为见到医学生是愉快的患者（P < 0.001和P < 0.001）、认为自己的隐私未被侵犯的患者（P < 0.001和P < 0.001）以及获得了有关其健康问题的有用信息的患者（P < 0.001和P < 0.001）。
结论
患者对医学生参与其医疗护理总体持积极态度。大多数人很高兴见到医学生，而一些人因学生数量众多且一些学生未征求他们的同意而对自己的隐私表示担忧。将医学伦理实践与以患者为中心的方法相结合至关重要。
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