Attitudes of Family Medicine Trainees Towards Patient-Centeredness Practice

Figures & data

Table 1 Demographic Characteristics of Family Medicine Residents and Correlation with the Total Patient Practitioner Orientation Scale (PPOS) (N=114)

Characteristics	Frequency (n)	Percentage (%)	Mean Sharing	Mean Caring	Mean Total	P-value
			Subscale (SD)	Subscale (SD)	Score (SD)
Age	Mean 26.97(2.41)		3.97(0.66)	4.49(0.57)	4.23(0.53)	0.872
Gender
Male	68	59.6	3.99	4.46	4.22	0.855
Female	46	40.4	3.95	4.54	4.24
Level of Training
R1	38	33.3	3.92	4.61	4.26	0.578
R2	38	33.3	4.05	4.53	4.29
R3	28	24.6	3.92	4.31	4.11
R4	10	8.8	4.25	4.46	4.25
Training Center
University-based	48	42.1	4.01	4.60	4.31	0.310
Ministry of Health	30	26.3	3.90	4.34	4.12
Other sectors	36	31.6	3.99	4.49	4.23
City of Graduation
Riyadh	91	79.8	4.00	4.53	4.27	0.190
Others	23	20.2	4.10	4.33	4.10
Previous Training
Yes	32	28.1	3.94	4.59	4.26	0.713
No	82	71.9	3.99	4.46	4.22

Table 2 Means of Total Patient Practitioner Orientation Scale (PPOS), Sharing and Caring Scores (N=114)

Patient Practitioner Orientation Scale (PPOS)	Mean (Standard Deviation)
Sharing	3.97(0.66)
1. The doctor is the one who should decide what gets talked about during a visit.	4.44(1.32)
2. It is often best for patients if they do not have a full explanation of their medical condition.	5.10(1.30)
3. Patients should rely on their doctors’ knowledge and not try to find out about their conditions on their own.	4.38(1.3)
4. Many patients continue asking questions even though they are not learning anything new.	3.73(1.43)
5. Patients should be treated as if they were partners with the doctor, equal in power and status.	4.15(1.56)
6. Patients generally want reassurance rather than information about their health.	3.10(1.34)
7. When patients disagree with their doctor, this is a sign that the doctor does not have the patient’s respect and trust.	4.62(1.26)
8. The patient must always be aware that the doctor is in charge.	3.71(1.46)
9. When patients look up medical information on their own, this usually confuses more than it helps.	2.54(1.37)
Caring	4.49(0.57)
1. Although health care is less personal these days, this is a small price to pay for medical advances.	4.14(1.17)
2. The most important part of the standard medical visit is the physical exam.	4.33(1.50)
3. When doctors ask a lot of questions about a patient’s background, they are prying too much into personal matters.	5.10(1.00)
4. If doctors are truly good at diagnosis and treatment, the way they relate to patients is not that important.	5.09(1.04)
5. If a doctor’s primary tools are being open and warm, the doctor will not have a lot of success.	4.63(1.31)
6. A treatment plan cannot succeed if it conflicts with a patient’s lifestyle or values.	4.78(1.34)
7. Most patients want to get in and out of the doctor’s office as quickly as possible.	3.81(1.39)
8. It is not that important to know a patient’s culture and background in order to treat the person’s illness.	5.00(1.28)
9. Humor is a major ingredient in the doctor’s treatment of the patient.	3.55(1.39)
Total score	4.23(0.53)

Table 3 Multiple Regression Model for Total Patient Practitioner Orientation Scale (PPOS) Score Correlates (N=114)

	B	Std. Error	Beta	t	Sig.
(Constant)	4.673	0.705		6.632	<0.001
Age	−0.005	0.026	−0.025	−0.212	0.833
Gender	0.004	0.104	0.003	0.034	0.973
Level of Training	−0.016	0.063	−0.030	−0.256	0.799
Training Center	−0.034	0.064	−0.056	−0.536	0.593
City of Graduation	−0.143	0.133	−0.109	−1.073	0.286
Previous Training in Patient Centeredness	−0.015	0.116	−0.013	−0.133	0.894

Notes: Summary of model: R= 0.148; R²=0.022; Adjusted R² 0.033, fit: F=0.401 P= 0.877 (Enter method).

Figure 1 Sources of previous education about patient centeredness reported by participants.