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  • 标题:Does a home-based interview with a chronically ill patient help medical students become more patient-centred? A randomised controlled trial
  • 本地全文:下载
  • 作者:Michael Harris ; Anna-Lea Camenzind ; Rita Fankhauser
  • 期刊名称:BMC Medical Education
  • 印刷版ISSN:1472-6920
  • 出版年度:2020
  • 卷号:20
  • 期号:1
  • 页码:1-9
  • DOI:10.1186/s12909-020-02136-y
  • 出版社:BioMed Central
  • 摘要:While patient-centred care improves patient outcomes, studies have shown that medical students become less patient-centred with time, so it is crucial to devise interventions that prevent this. We sought to determine whether first-year medical students who had a structured home-based interview with a chronically ill patient became more patient-centred than those who had a sham intervention. This randomised controlled trial assigned first-year students from the University of Bern, Switzerland, to either an interview with a chronically ill patient at the patient’s home or to a sham comparator. We used the PPOS-D12 questionnaire to measure students’ levels of patient-centredness at baseline, and changes in these levels during their longitudinal primary care clerkship. A total of 317 students participated. Patient-centred attitudes increased during the study. A home-based interview with a chronically ill patient had no additional effect. Being female and having been exposed to patients before medical school were associated with being more patient-centred at baseline. Students were less patient-centred than their General Practitioner teachers. A structured, home-based interview with a chronically ill patient did not change students’ patient-centred attitudes, so cannot be recommended as a way to influence those attitudes. However, patient-centred attitudes increased during the students’ first year of study, possibly because of their longitudinal primary care clerkship. Clinicaltrials.gov reference: NCT03722810 , registered 29th October 2018.
  • 关键词:Medical professionalism ; Patient-centred care ; Primary health care ; Undergraduate medical education
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