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Korean J Med Educ > Volume 19(3); 2007 > Article
Korean Journal of Medical Education 2007;19(3): 215-223. doi: https://doi.org/10.3946/kjme.2007.19.3.215
환자-의사 관계에 대한 의대생의 태도
박재현
경희대학교 의학전문대학원 의학교육학교실
Medical Students' Attitudes Toward the Patient-Doctor Relationship
Jaehyun Park
Department of Medical Education, School of Medicine, Kyung Hee University, Seoul, Korea.
Corresponding Author: Jaehyun Park ,Tel: 02)961-9102, Fax: 02)969-6958, Email: fool@khu.ac.kr
ABSTRACT
PURPOSE: This study investigated the attitudes of medical students toward physicians and the roles which the doctors and patients should play in the health care process. METHODS: Attitudes toward the patient-doctor relationship of 436 medical students of the K university in Seoul were measured using the Patient-Practitioner Orientation Scale(PPOS), a validated instruments designed to measure individual preferences toward various aspects of the patient-doctor relationship. The PPOS was composed of Sharing(sharing information, take part in decision making) and Caring(respect one's feelings, interpersonal relationship) subscale. Total PPOS scores can range from patient-centered(egalitarian, whole person oriented) to disease- or doctor-centered(paternalistic, less attuned to psychosocial issues). Socio-demographic data including gender, age, school year, marital status, undergraduate major, student's and her/his family medical background and specialty choice were collected and it was investigated the possible impact of socio-demographic factors on students' attitudes. RESULTS: The PPOS score was 3.82. The Sharing and Caring scores were 3.74 and 3.90, respectively. Female gender and students of graduate entry program were significantly associated with patient-centered attitudes. Age, school year, marital status, academic background, student's and her/his family medical background, and specialty choice did not show significant associations with PPOS scores. CONCLUSION: Female and graduate students showed more patient-centered attitudes than male and undergraduate students, respectively. Given the emphasis placed on patient-centered care in the current medical environment, our results suggest further research to explore the dynamics in medical education that may foster or inhibit student attitudes toward patient-centered care.
Keywords: Patient-doctor relationship;Patient-centeredness;Attitude;Medical Students
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