Assessing attitudes of patient-centered care among chiropractic students at a South African university

Ismail, Fatima; Yelverton, Christopher; Schafer, Tamaryn; Peterson, Cynthia

doi:10.7899/jce-21-2

Cited by 2 publications

(2 citation statements)

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“…The final narrative recount was developed into 8 papers that follow a chronological storyline. 4,[42][43][44][45][46][47] This paper is the second of the series that considered events relating to the lawsuit that transformed the chiropractic profession and explores the AMA's rise in power and how the chiropractic profession continued to develop during the first half of the 20th century.…”

Section: Methodsmentioning

confidence: 99%

“…These early years set the stage for conflict that eventually resulted in the Wilk v American Medical Association (AMA) lawsuit. 3,4 The historical events surrounding this lawsuit are important for chiropractors today. This history helps to explain the recent surge in scientific growth [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] and the improved access to chiropractic care after the barriers that were erected by the AMA were finally removed.…”

Section: Introductionmentioning

confidence: 99%

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Looking back at the lawsuit that transformed the chiropractic profession part 2:Rise of the American Medical Association

Johnson¹,

Green²

2021

Journal of Chiropractic Education

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Objective This paper is the second in a series that explores the historical events surrounding the Wilk v American Medical Association (AMA) lawsuit in which the plaintiffs argued that the AMA, the American Hospital Association, and other medical specialty societies violated anti-trust law by restraining chiropractors' business practices. The purpose of this paper is to provide a brief review of the history of how the AMA rose to dominate health care in the United States, and within this social context, how the chiropractic profession fought to survive in the first half of the 20th century. Methods This historical research study used a phenomenological approach to qualitative inquiry into the conflict between regular medicine and chiropractic and the events before, during, and after a legal dispute at the time of modernization of the chiropractic profession. Our methods included obtaining primary and secondary data sources. The final narrative recount was developed into 8 papers following a successive timeline. This paper is the second of the series that explores the growth of medicine and the chiropractic profession. Results The AMA's code of ethics established in 1847 continued to direct organized medicine's actions to exclude other health professions. During the early 1900s, the AMA established itself as “regular medicine.” They labeled other types of medicine and health care professions, such as chiropractic, as “irregulars” claiming that they were cultists and quacks. In addition to the rise in power of the AMA, a report written by Abraham Flexner helped to solidify the AMA's control over health care. Chiropractic as a profession was emerging and developing in practice, education, and science. The few resources available to chiropractors were used to defend their profession against attacks from organized medicine and to secure legislation to legalize the practice of chiropractic. After years of struggle, the last state in the US legalized chiropractic 79 years after the birth of the profession. Conclusion In the first part of the 20th century, the AMA was amassing power as chiropractic was just emerging as a profession. Events such as publication of Flexner's report and development of the medical basic science laws helped to entrench the AMA's monopoly on health care. The health care environment shaped how chiropractic grew as a profession. Chiropractic practice, education, and science were challenged by trying to develop outside of the medical establishment. These events added to the tensions between the professions that ultimately resulted in the Wilk v AMA lawsuit.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Looking back at the lawsuit that transformed the chiropractic profession part 2:Rise of the American Medical Association

Johnson¹,

Green²

2021

Journal of Chiropractic Education

View full text Add to dashboard Cite

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Evaluation of the effect of a communication skills course on medical students’ attitude towards patient-centered care: a prospective study

Mohamed,

Almarabheh,

Almughamsi

et al. 2024

PeerJ

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Background This study aims to examine whether a communication skills course (Early Clinical Exposure–ECE) might support shaping medical students’ attitudes towards patient-centered care at Taibah University, Saudi Arabia. Attitudes were measured before and after the course using the Patient Practitioner Orientation Scale (PPOS), which assesses students’ orientation towards patient-centeredness. Methods This prospective observational study collected data at two points: the start of year two and the start of year four from the same cohort. The PPOS, divided into the sharing subscale (physician shares information, power, and control with the patient) and the caring subscale (physician considers the patient’s emotions, preferences, and expectations), was used to evaluate students’ attitudes. Mean scores were calculated, and independent sample t-tests were employed to assess statistical significance. Results Of the students targeted, 153 participated at year two (response rate = 93.5%) and 143 at year four (response rate = 89.5%). Significant progress was observed in the sharing subscale, with scores increasing from 3.23 ± 0.53 to 3.40 ± 0.60 (p = 0.015). However, the caring subscale exhibited a significant decline, with scores dropping from 4.06 ± 0.53 to 3.76 ± 0.68 (p < 0.001). As a result, there was no significant overall change in the total PPOS score (p = 0.282). Female students showed more progress in the sharing subscale than males. Conclusions The communication skills course might have had a positive impact on students’ attitudes towards sharing information in decision-making with patients, but notably, the medical students’ caring attitudes declined. This indicates a need for further emphasis on patient-centered communication, especially on the caring aspects, in the medical curriculum.

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Assessing attitudes of patient-centered care among chiropractic students at a South African university

Cited by 2 publications

References 43 publications

Looking back at the lawsuit that transformed the chiropractic profession part 2:Rise of the American Medical Association

Looking back at the lawsuit that transformed the chiropractic profession part 2:Rise of the American Medical Association

Evaluation of the effect of a communication skills course on medical students’ attitude towards patient-centered care: a prospective study

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