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Medical Students’ Perceptions of the Doctor-Patient Relationship: A Cross-Sectional Study from Saudi Arabia

机译：医科学生对医患关系的看法：来自沙特阿拉伯的跨领域研究

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IntroductionThe physician-patient relationship is at the heart of the art of medicine. Patient-centered care is rapidly evolving as the standard of care as well as the optimal vehicle to achieve high-quality healthcare and good clinical outcomes. This study aims to examine the attitudes of pre-clinical (third-year) students from Alfaisal University (Riyadh, Saudi Arabia) toward the physician-patient relationship.MethodsThis cross-sectional study took place during the spring 2017 academic year. All third-year students (n=210) were requested to voluntarily complete an online and anonymous questionnaire. The questionnaire covered students’ demographical characteristics (gender, nationality, and cumulative grade point average) and their response to a previously validated instrument, the Patient-Practitioner Orientation Scale (PPOS), which explores the attitudes of medical students toward the doctor-patient relationship.ResultsIn total, 132 students participated in the survey (n=132/210) with an overall response rate of 62.9%. Most respondents were female (56.8%), non-Saudi citizens (53.0%), and high achievers (70.5%). Most of the mean scores on the PPOS statements indicated patient-centered attitudes - that is, mean scores were higher than “3”. The mean score for the overall PPOS was 4.0 ± 1.5, whereas the mean scores for the sharing and caring domains were 4.2 ± 1.5 and 3.8 ± 1.4, respectively. Univariate correlations between the students’ demographics and their mean scores for the sharing domain, caring domain, and overall PPOS showed no statistically significant differences (p > 0.05).ConclusionThe pre-clinical medical students showed favorable patient-centered attitudes. There were no statistically significant differences between students’ demographics (gender, nationality, and academic performance) and PPOS scores (sharing domain, caring domain and overall score).
机译：引言医患关系是医学领域的核心。以患者为中心的护理正在迅速发展成为护理的标准，也是实现高质量医疗保健和良好临床效果的最佳手段。这项研究旨在研究来自Alfaisal University（沙特阿拉伯利雅得）的临床前（三年级）学生对医患关系的态度。方法这项横断面研究是在2017年春季学期进行的。所有三年级学生（n = 210）均被要求自愿填写在线匿名调查表。该调查表涵盖了学生的人口统计学特征（性别，国籍和累积平均绩点），以及他们对之前经过验证的工具患者从业者倾向量表（PPOS）的回答，该量表探讨了医学生对医患关系的态度。结果共有132名学生参加了该调查（n = 132/210），总答复率为62.9％。大部分受访者是女性（56.8％），非沙特公民（53.0％）和成绩斐然的人（70.5％）。 PPOS语句上的大多数平均分数表明以患者为中心的态度-也就是说，平均分数高于“ 3”。总体PPOS的平均得分为4.0±1.5，而共享和关怀领域的平均得分分别为4.2±1.5和3.8±1.4。学生的人口统计学特征和他们在共享领域，关怀领域和总体PPOS方面的平均得分之间的单变量相关性在统计学上无显着差异（p> 0.05）。结论临床前医学专业的学生表现出以患者为中心的良好态度。学生的人口统计资料（性别，国籍和学习成绩）与PPOS分数（共享领域，关怀领域和总体得分）之间没有统计学上的显着差异。

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