Clinical communication course and other factors affecting patient-centered attitudes among medical students.

Autor:	Pers M; Department of Medical Education, Jagiellonian University Medical College, Kraków, Poland., Górski S; Department of Medical Education, Jagiellonian University Medical College, Kraków, Poland. stanislaw.gorski@uj.edu.pl., Stalmach-Przygoda A; Department of Medical Education, Jagiellonian University Medical College, Kraków, Poland., Balcerzak Ł; Department of Medical Education, Jagiellonian University Medical College, Kraków, Poland., Szopa M; Department of Medical Education, Jagiellonian University Medical College, Kraków; Department of Metabolic Diseases, Jagiellonian University Medical College, Kraków, Poland., Karabinowska A; Students' Scientific Group of Medical Education, Department of Medical Education, Jagiellonian University Medical College, Kraków, Poland., Świerszcz J; Department of Medical Education, Jagiellonian University Medical College, Kraków, Poland., Perera I; Department of Medical Education, Jagiellonian University Medical College, Kraków, Poland., Cebula G; Department of Medical Education, Jagiellonian University Medical College, Kraków, Poland.
Jazyk:	angličtina
Zdroj:	Folia medica Cracoviensia [Folia Med Cracov] 2019; Vol. 59 (2), pp. 81-92.
Abstrakt:	Objectives: Patient-centered care (PCC) is associated with better relationships, resulting in a decrease in symptoms, hospitalizations and health costs. However, studies analyzing factors influencing patient-centered attitudes show ambiguous results. The purpose was to assess the impact of the Clinical Communication Course (CCC) in Jagiellonian University, Cracow and other factors on Patient-Centered Attitudes (PCA) and Attitude toward Clinical Skills Learning (CSLA). Methods: We retrospectively compared Polish-speakers (CCC+, n = 160), English-speakers (CCCen+, n = 55) after the CCC and upperclassmen Polish-speakers without it (CCC-, n = 122). Validated questionnaires to measure PCA (Leeds Attitude Toward Concordance II and Patient-Practitioner Orientation Scale (PPOS)) and for CSLA (Communication Skills Attitude Scale with negative subscale (CSAS-N)) were used. The higher the scores, the more PCA, and negative CSLA respectively. Students completed questionnaires and answered questions regarding age, sex, motivation to study (coded as humanitarian - MotHUM, financial - MotFIN, combination - MotMIX) and considered specialization - coded as with more human contact (family medicine, psychiatry, pediatrics - SpecHUM) and others (SpecNHUM). Statistics were prepared in R. Results: CCC+ scored higher in PPOS (2.91 vs. 2.74; p = 0.003) than CCC- and higher in CSAS-N than CCCen+ (31.22 vs. 28.32; p = 0.004). In CCC+ SpecHUM scored lower than SpecNHUM in PPOS (2.65 vs. 2.94, p = 0.012). MotFIN scored higher then MotMIX in PPOS (3.01 vs. 2.7, p = 0.036). Correlations were statistically significant. Conclusion: CCC improved PCA in CCC+. They showed more negative CSLA than CCCen+. Among CCC+, surprisingly, SpecNHUM presented more PCA than SpecHUM as well as MotFIN compared to MotMIX.
Databáze:	MEDLINE
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