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首页> 外文期刊>BMC Medical Education >Cross-cultural perspectives on the patient-provider relationship: a qualitative study exploring reflections from Ghanaian medical students following a clinical rotation in the United States
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Cross-cultural perspectives on the patient-provider relationship: a qualitative study exploring reflections from Ghanaian medical students following a clinical rotation in the United States

机译：病人与提供者之间的关系的跨文化视角：一项定性研究，探索加纳医学生在美国临床轮换后的思考

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Background In international health experiences, learners are exposed to different culturally-based patient care models. Little is known about student perceptions of patient-provider interactions when they travel from low-to high-resource settings. The purpose of this study was to explore these reflections among a subset of Ghanaian medical students who participated in clinical rotations at the University of Michigan Medical School (UMMS). Methods In-depth, semi-structured interviews lasting 60–90 min were conducted with 15 individuals who had participated in 3-to 4-week clinical rotations at UMMS between January 2008 and December 2011. Interviews were conducted from March to August 2012 and transcribed verbatim, then independently coded by three investigators. Investigators compared open codes and reached a consensus regarding major themes. Results Participating Ghanaian medical students reported that their perspectives of the patient-provider relationship were significantly affected by participation in a UMMS rotation. Major thematic areas included: (1) observations of patient care during the UMMS rotation, including patient comfort and privacy, physician behavior toward patients, and patient behavior; (2) reflections on the role of humanism and respect within patient care; (3) barriers to respectful care; and (4) transformation of student behaviors and attitudes. Students also reported integrating more patient-centered care into their own medical practice upon return to Ghana Discussion Participation in a US-based clinical rotation has the potential to introduce medical students from resource-limited settings to a different paradigm of patient-provider interactions, which may impact their future behavior and perspectives regarding patient care in their home countries. Conclusions Students from under-resourced settings can derive tremendous value from participation in clinical electives in more affluent settings, namely through exposure to a different type of medical care.
机译：背景技术在国际卫生经验中，学习者会接触到不同的基于文化的患者护理模式。当学生从低资源环境转移到高资源环境时，对患者与医护人员互动的看法知之甚少。本研究的目的是探讨在密歇根大学医学院（UMMS）参加临床轮换的加纳医学生子集中的这些反映。方法对2008年1月至2011年12月在UMMS进行了3至4周临床轮换的15位个体进行了持续60-90分钟的深度，半结构式访谈。访谈于2012年3月至2012年8月进行，并进行转录逐字记录，然后由三位调查员独立编码。研究人员比较了开放代码，并就主要主题达成了共识。结果参加加纳的医学生报告说，参加UMMS轮换对他们对患者与提供者关系的看法有很大影响。主要主题领域包括：（1）在UMMS轮换期间观察患者的护理情况，包括患者的舒适度和私密性，医师对患者的行为以及患者的行为; （2）思考人本主义和尊重在患者护理中的作用; （3）受到尊重的障碍; （4）改变学生的行为和态度。学生还报告说，返回加纳后，他们将更多以患者为中心的护理纳入他们自己的医疗实践中。参加以美国为基地的临床轮岗有可能将医学生从资源有限的环境引入到患者与提供者互动的不同范例中可能会影响他们在本国的未来行为和有关患者护理的观点。结论资源贫乏地区的学生可以通过在较为富裕的环境中参加临床选修课而获得巨大价值，即通过接触其他类型的医疗服务。

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