McMillan Kimberly, Akurang Deborah, Wheatley-Price Paul
Faculty of Health Sciences, School of Nursing, University of Ottawa, 451 Smyth Rd, Ottawa, ON K1H 8M5, Canada.
Department of Medicine, The Ottawa Hospital Research Institute, The Ottawa Hospital, University of Ottawa, Ottawa, ON K1H 8L6, Canada.
Curr Oncol. 2025 Jun 11;32(6):343. doi: 10.3390/curroncol32060343.
Physician attributes significantly impact patient outcomes, satisfaction, and trust. Various attribute frameworks have been developed to help structure and guide undergraduate medical education and subsequent clinician practice; however, prioritization of these attributes vary by stakeholder (patients, physicians, medical students). Based on findings from two previous studies completed by the research team, we sought to understand the context in which individuals in these stakeholder groups prioritize particular physician attributes. We adopted a qualitative approach, conducting semi-structured interviews with patients (N = 11), doctors (N = 11), and medical students (N = 12), for a total sample of 34.
Thematic analysis of data resulted in the following five themes: caring, communicator, expert, professional, curiosity and open-mindedness. Central to our findings was the need for a positive, trusting provider-patient relationship, which was framed as the conduit to quality patient care (both receiving and providing). The attributes believed to support this central finding differed, noting that "caring", "curiosity and open-mindedness" are not typical in physician attribute frameworks. Findings suggest there is a central guiding philosophy shaping what medical students, physicians and patients alike, need in the context of the provider-patient relationship, which transcends particular attributes. The guiding philosophy of relational inquiry is used to further situate study findings.
Integrating a central guiding philosophy can add additional depth and nuance to attribute frameworks, ensuring considerations for qualities that transcend particular attribute characteristics, such as "caring" and "curiosity and open-mindedness" are also explicitly used to help structure and guide undergraduate medical education and subsequent clinician practice.
医生的特质对患者的治疗效果、满意度和信任度有显著影响。已经开发了各种特质框架来帮助构建和指导本科医学教育及后续临床医生的实践；然而，这些特质的优先级因利益相关者（患者、医生、医学生）而异。基于研究团队之前完成的两项研究结果，我们试图了解这些利益相关者群体中的个体对特定医生特质进行优先级排序的背景。我们采用了定性研究方法，对患者（N = 11）、医生（N = 11）和医学生（N = 12）进行了半结构化访谈，样本总数为34人。
对数据的主题分析得出了以下五个主题：关怀、沟通者、专家、专业、好奇心和开放性思维。我们研究结果的核心是需要一种积极、信任的医患关系，这被视为提供高质量患者护理（接受和提供护理）的渠道。被认为支持这一核心发现的特质有所不同，注意到“关怀”、“好奇心和开放性思维”在医生特质框架中并不典型。研究结果表明，有一种核心指导理念塑造了医学生、医生和患者在医患关系背景下的需求，这种理念超越了特定特质。关系探究的指导理念被用来进一步阐述研究结果。
整合一种核心指导理念可以为特质框架增添额外的深度和细微差别，确保对超越特定特质特征的品质进行考量，例如“关怀”和“好奇心和开放性思维”也被明确用于帮助构建和指导本科医学教育及后续临床医生的实践。
