Self-Awareness of Performing Patient-Centered Medicine in General Practice / Family Medicine: Development of a Measurement Scale
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/105517 https://doi.org/10.20344/amp.11742 |
Resumo: | Patient Centred Medicine is a method and a model of practicing allowing gains for both the doctor and the patient. Its practice must be evaluated for purposes of continuous professional development and continuous medical education. The aim of this study was to create an instrument focused in measuring the practice based on person centered medicine in general and family medicine, as well as in determining its reliability and validity. Material and Methods: A first version of a questionnaire according to the four dimensions of the patient- centred clinical method was revised in a focus group providing the content validity. The final questionnaire includes 22 items, using a Likert scale with four response options. Factorial analysis made it possible to confirm the dimensions defined by Moira Stewart, and internal consistency, test-retest reproducibility and item-total correlations were determined. The online implementation of the questionnaire to a sample of 905 family doctors guaranteed the construct and criterion validities. Results: The measurement instrument includes four dimensions: (i) exploring health, disease and the illness experience; (ii) investing in the doctor-patient relationship; (iii) seeking understanding; and (iv) understanding the whole person. The internal consistency was demonstrated with a global Cronbach’s alpha of 0.892, varying between 0.783 and 0.844 for all dimensions. The test-retest reproducibility obtained an intraclass correlation value between 0.678 and 1.000. The item-total correlations varied between 0.457 and 0.870. Women doctors are more aware than their colleagues about seeking understanding with the person, and young doctors are more susceptible to approach the disease through history and to seek understanding with the patient. Specialist physicians have shown to be more careful with the history and with viewing the patient as a whole and the professionals who work in a Family Health Unit are those who seek a better understanding with the person. Finally, specific training about person centered medicine and about consultation in person centered medicine demonstrated a positive impact in all dimensions of the person-centred medicine and this is acknowledged |
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Self-Awareness of Performing Patient-Centered Medicine in General Practice / Family Medicine: Development of a Measurement ScaleAuto Perceção do Desempenho da Medicina Centrada na Pessoa em Medicina Geral e Familiar: Criação de Um Instrumento de MediçãoCuidados de saúde primários;FiabilidadeMedicina Centrada na Pessoa;Medicina Geral e FamiliarMétodo Clínico Centrado na Pessoa;QuestionárioRelação Médico-DoenteClinical Method Focused on the PersonDoctor-Patient RelationshipGeneral and Family MedicinePerson-Centered MedicinePrimary health careQuestionnaireReliabilityAdultAgedFamily PracticeFemaleGeneral PracticeHealth Care SurveysHumansMaleMiddle AgedPatient-Centered CarePractice Patterns, Physicians'Self ConceptPatient Centred Medicine is a method and a model of practicing allowing gains for both the doctor and the patient. Its practice must be evaluated for purposes of continuous professional development and continuous medical education. The aim of this study was to create an instrument focused in measuring the practice based on person centered medicine in general and family medicine, as well as in determining its reliability and validity. Material and Methods: A first version of a questionnaire according to the four dimensions of the patient- centred clinical method was revised in a focus group providing the content validity. The final questionnaire includes 22 items, using a Likert scale with four response options. Factorial analysis made it possible to confirm the dimensions defined by Moira Stewart, and internal consistency, test-retest reproducibility and item-total correlations were determined. The online implementation of the questionnaire to a sample of 905 family doctors guaranteed the construct and criterion validities. Results: The measurement instrument includes four dimensions: (i) exploring health, disease and the illness experience; (ii) investing in the doctor-patient relationship; (iii) seeking understanding; and (iv) understanding the whole person. The internal consistency was demonstrated with a global Cronbach’s alpha of 0.892, varying between 0.783 and 0.844 for all dimensions. The test-retest reproducibility obtained an intraclass correlation value between 0.678 and 1.000. The item-total correlations varied between 0.457 and 0.870. Women doctors are more aware than their colleagues about seeking understanding with the person, and young doctors are more susceptible to approach the disease through history and to seek understanding with the patient. Specialist physicians have shown to be more careful with the history and with viewing the patient as a whole and the professionals who work in a Family Health Unit are those who seek a better understanding with the person. Finally, specific training about person centered medicine and about consultation in person centered medicine demonstrated a positive impact in all dimensions of the person-centred medicine and this is acknowledgedOrdem dos Medicos2020-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/105517http://hdl.handle.net/10316/105517https://doi.org/10.20344/amp.11742por1646-07580870-399XSantiago, Luiz MiguelSimões, José AugustoVale, MartinhaFaria, ElleniFerreira, Pedro L.Rosendo, Inêsinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-03T11:53:27Zoai:estudogeral.uc.pt:10316/105517Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:22:04.712856Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Self-Awareness of Performing Patient-Centered Medicine in General Practice / Family Medicine: Development of a Measurement Scale Auto Perceção do Desempenho da Medicina Centrada na Pessoa em Medicina Geral e Familiar: Criação de Um Instrumento de Medição |
title |
Self-Awareness of Performing Patient-Centered Medicine in General Practice / Family Medicine: Development of a Measurement Scale |
spellingShingle |
Self-Awareness of Performing Patient-Centered Medicine in General Practice / Family Medicine: Development of a Measurement Scale Santiago, Luiz Miguel Cuidados de saúde primários; Fiabilidade Medicina Centrada na Pessoa; Medicina Geral e Familiar Método Clínico Centrado na Pessoa; Questionário Relação Médico-Doente Clinical Method Focused on the Person Doctor-Patient Relationship General and Family Medicine Person-Centered Medicine Primary health care Questionnaire Reliability Adult Aged Family Practice Female General Practice Health Care Surveys Humans Male Middle Aged Patient-Centered Care Practice Patterns, Physicians' Self Concept |
title_short |
Self-Awareness of Performing Patient-Centered Medicine in General Practice / Family Medicine: Development of a Measurement Scale |
title_full |
Self-Awareness of Performing Patient-Centered Medicine in General Practice / Family Medicine: Development of a Measurement Scale |
title_fullStr |
Self-Awareness of Performing Patient-Centered Medicine in General Practice / Family Medicine: Development of a Measurement Scale |
title_full_unstemmed |
Self-Awareness of Performing Patient-Centered Medicine in General Practice / Family Medicine: Development of a Measurement Scale |
title_sort |
Self-Awareness of Performing Patient-Centered Medicine in General Practice / Family Medicine: Development of a Measurement Scale |
author |
Santiago, Luiz Miguel |
author_facet |
Santiago, Luiz Miguel Simões, José Augusto Vale, Martinha Faria, Elleni Ferreira, Pedro L. Rosendo, Inês |
author_role |
author |
author2 |
Simões, José Augusto Vale, Martinha Faria, Elleni Ferreira, Pedro L. Rosendo, Inês |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Santiago, Luiz Miguel Simões, José Augusto Vale, Martinha Faria, Elleni Ferreira, Pedro L. Rosendo, Inês |
dc.subject.por.fl_str_mv |
Cuidados de saúde primários; Fiabilidade Medicina Centrada na Pessoa; Medicina Geral e Familiar Método Clínico Centrado na Pessoa; Questionário Relação Médico-Doente Clinical Method Focused on the Person Doctor-Patient Relationship General and Family Medicine Person-Centered Medicine Primary health care Questionnaire Reliability Adult Aged Family Practice Female General Practice Health Care Surveys Humans Male Middle Aged Patient-Centered Care Practice Patterns, Physicians' Self Concept |
topic |
Cuidados de saúde primários; Fiabilidade Medicina Centrada na Pessoa; Medicina Geral e Familiar Método Clínico Centrado na Pessoa; Questionário Relação Médico-Doente Clinical Method Focused on the Person Doctor-Patient Relationship General and Family Medicine Person-Centered Medicine Primary health care Questionnaire Reliability Adult Aged Family Practice Female General Practice Health Care Surveys Humans Male Middle Aged Patient-Centered Care Practice Patterns, Physicians' Self Concept |
description |
Patient Centred Medicine is a method and a model of practicing allowing gains for both the doctor and the patient. Its practice must be evaluated for purposes of continuous professional development and continuous medical education. The aim of this study was to create an instrument focused in measuring the practice based on person centered medicine in general and family medicine, as well as in determining its reliability and validity. Material and Methods: A first version of a questionnaire according to the four dimensions of the patient- centred clinical method was revised in a focus group providing the content validity. The final questionnaire includes 22 items, using a Likert scale with four response options. Factorial analysis made it possible to confirm the dimensions defined by Moira Stewart, and internal consistency, test-retest reproducibility and item-total correlations were determined. The online implementation of the questionnaire to a sample of 905 family doctors guaranteed the construct and criterion validities. Results: The measurement instrument includes four dimensions: (i) exploring health, disease and the illness experience; (ii) investing in the doctor-patient relationship; (iii) seeking understanding; and (iv) understanding the whole person. The internal consistency was demonstrated with a global Cronbach’s alpha of 0.892, varying between 0.783 and 0.844 for all dimensions. The test-retest reproducibility obtained an intraclass correlation value between 0.678 and 1.000. The item-total correlations varied between 0.457 and 0.870. Women doctors are more aware than their colleagues about seeking understanding with the person, and young doctors are more susceptible to approach the disease through history and to seek understanding with the patient. Specialist physicians have shown to be more careful with the history and with viewing the patient as a whole and the professionals who work in a Family Health Unit are those who seek a better understanding with the person. Finally, specific training about person centered medicine and about consultation in person centered medicine demonstrated a positive impact in all dimensions of the person-centred medicine and this is acknowledged |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-06-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10316/105517 http://hdl.handle.net/10316/105517 https://doi.org/10.20344/amp.11742 |
url |
http://hdl.handle.net/10316/105517 https://doi.org/10.20344/amp.11742 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
1646-0758 0870-399X |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Ordem dos Medicos |
publisher.none.fl_str_mv |
Ordem dos Medicos |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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