What do Nepalese medical students and doctors think about patient-centred communication?

Patient Education and Counseling
Malcolm Moore

Abstract

To ascertain the attitudes of Nepalese medical students and doctors regarding aspects of doctor-patient communication. A cross-sectional survey, using the Patient-Practitioner Orientation Scale (PPOS), was undertaken with students and doctors in a teaching hospital in rural Nepal. Qualitative research was also done, using semi-structured interviews and focus groups, with a sample from the same population. The author's participant observations provided a third data source. Participants generally expressed 'patient-centred' attitudes, particularly in the following areas: power-sharing; the importance of social context; friendliness; providing adequate time and explanations. They thought that the hierarchical nature of society carried over into medical practice, particularly noting the exalted position of doctors and the importance of social and financial issues in patient outcomes. The participants thought that Nepalese doctors currently practice in a 'doctor-centred' manner but thought that this should change. There was a marked contrast between the attitudes expressed by participants and the way that they see medicine is currently practiced. The results also showed an under-appreciation of Nepalese patients' universal desire fo...Continue Reading

References

Jul 2, 1999·Social Science & Medicine·M H BernhartI Pohan
Jan 22, 2000·International Journal of Psychiatry in Medicine·E KrupatP Freeman
Sep 27, 2000·Social Science & Medicine·N Mead, P Bower
Mar 16, 2002·BMJ : British Medical Journal·Angela Coulter
Jun 6, 2002·Medical Education·Paul HaidetJohn C Rogers
Aug 13, 2003·Journal of General Internal Medicine·Richard L StreetPaul Haidet
Mar 10, 2006·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Edward Krupat

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Citations

Jul 27, 2010·Advances in Health Sciences Education : Theory and Practice·Mora ClaramitaCees Van der Vleuten
Jul 1, 2012·Journal of Family Medicine and Primary Care·Malcolm Moore, Rabin Bhandari
Feb 9, 2012·Advances in Health Sciences Education : Theory and Practice·Mora ClaramitaCees van der Vleuten
Jan 23, 2014·International Journal of Audiology·Ariane Laplante-LévesqueCaitlin Grenness
Jan 15, 2013·Patient Education and Counseling·Cláudia M A S PereiraEdward Krupat
Mar 23, 2011·Patient Education and Counseling·Mora ClaramitaCees Pm Van Der Vleuten
Aug 3, 2013·Patient Education and Counseling·Sofie Rosenlund LauJesper T Andreasen
Jun 3, 2014·BMC Research Notes·Ryan TandjungJohanna Sommer
Jul 17, 2019·BMC Pregnancy and Childbirth·Ranjeeta Shijagurumayum AcharyaBritt Stuge
Dec 12, 2018·Community Mental Health Journal·Mohammadali AkkafiEdward Krupat

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