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Factors affecting physicians' attitudes towards patient-centred care: a cross-sectional survey in Beijing.


ABSTRACT:

Objectives

Patient-centred care has been raised as an important component in providing high-quality healthcare services. This research aims to measure physicians' attitudes towards patient-centred care in Chinese healthcare settings and to identify the sociodemographic predictors of their attitudes using an exploratory research design.

Design

A cross-sectional survey.

Setting

Twelve hospitals in Beijing, China.

Participants

1290 physicians from 12 hospitals in Beijing were invited to take part in the survey using snowball sampling methods. There was a response rate of 84% (n=1084), of which 1053 responses (82%) were valid and included in this research.

Methods

This research used a survey containing a previously validated 6-point Likert scale called 'Chinese-revised Patient-Practitioner Orientation Scale' (CR-PPOS). Descriptive statistics and multivariable logistic regression analyses were performed to measure participants' attitudes and to identify the sociodemographic predictors of Chinese physicians' attitudes towards patient-centred care.

Results

Gender, professional title (ie, seniority) and hospital type influence Chinese physicians' attitudes towards patient-centred care. Female physicians, physicians with intermediate titles and those who work in tertiary (ie, top-level) hospitals tend to have higher patient-centred attitudes (OR=1.532, 95% CI 1.160 to 2.022; OR=2.089, 95% CI 1.206 to 3.618; OR=2.198, 95% CI 1.465 to 3.297) than male physicians with other titles, and than those who work in first, secondary or private hospitals. Physicians working in non-surgical departments, those who have received training in doctor-patient communication, and those who are satisfied with their income obtained high patient-centred scores, both on the overall CR-PPOS and its two subscales.

Conclusions

This research identified sociodemographic predictors of Chinese physicians' attitudes towards patient-centred care. The findings contribute to knowledge of factors to be considered in reforming medical education and the Chinese healthcare system to improve physician-patient relationships and provide high-quality healthcare to patients. However, these findings are exploratory in nature and require further investigation to establish their validity and generalisability.

SUBMITTER: Liang H 

PROVIDER: S-EPMC10083761 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature

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Publications

Factors affecting physicians' attitudes towards patient-centred care: a cross-sectional survey in Beijing.

Liang Haiying H   Reiss Michael J MJ   Isaacs Talia T  

BMJ open 20230404 4


<h4>Objectives</h4>Patient-centred care has been raised as an important component in providing high-quality healthcare services. This research aims to measure physicians' attitudes towards patient-centred care in Chinese healthcare settings and to identify the sociodemographic predictors of their attitudes using an exploratory research design.<h4>Design</h4>A cross-sectional survey.<h4>Setting</h4>Twelve hospitals in Beijing, China.<h4>Participants</h4>1290 physicians from 12 hospitals in Beijin  ...[more]

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