Cross-cultural comparison of the patient-centeredness of the hidden curriculum between a Saudi Arabian and 9 US medical schools

Al-Bawardy, Rasha; Blatt, Benjamin; Al-Shohaib, Saad; Samuel, J. Simmens

doi:10.3402/meo.v14i.4655

Cited by 11 publications

(9 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…] Jordan To determine Jordanian physicians' perceived barriers and facilitators to patient participation in treatment decision-making Physician Quantitative: A cross sectional exploratory survey design Rahman et al, 2019 [ 87. ] Pakistan To examine the perspectives of 18 health care providers (nurses, consultant doctors, residents, radiologists, and physiotherapists) and 18 patients regarding best practices for patient‐centred care in a free private hospital in Pakistan, to understand congruence between provider and patient perspectives Patients and providers Qualitative: Focused group interview Rasha et al, 2009 [ 88. ] Saudi Arabia and US To use the Communication, Curriculum, and Culture Survey (C3) to perform a pilot cross-cultural comparison of the patient-centredness of the hidden curriculum between a Saudi medical school and 9 U.S. medical schools Senior Saudi medical students in their (6 th ) last year Quantitative Rassouli et al, 2020 [ 89.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Patient-centered care in the Middle East and North African region: a systematic literature review

Alkhaibari

Smith‐Merry

Forsyth

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

Background The need for patient centered care (PCC) and its subsequent implementation has gained policy maker attention worldwide. Despite the evidence showing the benefits and the challenges associated with practicing PCC in western countries there has been no comprehensive review of the literature on PCC practice in the Middle East and North African (MENA) region, yet there is good reason to think that the practices of PCC in these regions would be different. Objectives This paper summarizes the existing research on the practice of PCC in the MENA region and uses this analysis to consider the key elements of a PCC definition based on MENA cultural contexts. Methods Five electronic databases were searched (EMBASE, Cochrane, Medline, CINAHL and Scopus) using the search terms: patient OR person OR client OR consumer AND centered OR centred AND care. The MENA countries included were Bahrain, Iran, Iraq, Jordan, Kuwait, Lebanon, Oman, Palestine, Israel, Qatar, Saudi Arabia, Syria, United Arab Emirates, Yemen, Algeria, Egypt, Libya, Morocco, Tunisia, Djibouti, Pakistan, Sudan, and Turkey. Identified papers were imported to Covidence where they were independently reviewed against the inclusion criteria by two authors. The following data were extracted for each paper: author, year, location (i.e., country), objectives, methodology, study population, and results as they related to patient centred care. Result The electronic search identified 3582 potentially relevant studies. Fifty articles met the inclusion criteria. Across all papers five themes were identified: 1) patient centered care principles; 2) patient and physician perceptions of PCC; 3) facilitators of PCC; 4) implementation and impact of PCC; and 5) barriers to PCC. Conclusion The preliminary findings suggest that the concept of PCC is practiced and supported to a limited extent in the MENA region, and that the implementation of PCC might be impacted by the cultural contexts of the region. Our review therefore highlights the importance of establishing patient-centered care definitions that clearly incorporate cultural practices in the MENA region. The elements and impact of culture in the MENA region should be investigated in future research.

show abstract

Section: Resultsmentioning

confidence: 99%

“…One study compared PCC in the hidden curriculum in a Saudi medical college with nine US medical colleges. The results suggested that the hidden curriculum in Saudi schools is more physician than patient-centered [ 88. ].…”

Section: Resultsmentioning

confidence: 99%

Patient-centered care in the Middle East and North African region: a systematic literature review

Alkhaibari

Smith‐Merry

Forsyth

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Although the above referenced studies found satisfactory internal consistency, 29,31,34 other studies have found substandard internal consistency similar to that of our results. [47][48][49] A Saudi Arabian study on sixth-year undergraduate medical students reported a Cronbach a of 0.56, 47 with another study done on medical students in South Africa reporting a Cronbach a value of 0.51. 48 These values are consistent with the Cronbach a value in this study.…”

Section: Discussionmentioning

confidence: 99%

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

Ismail¹,

Yelverton²,

Schafer³

et al. 2021

Journal of Chiropractic Education

View full text Add to dashboard Cite

Objective Patient-centered care (PCC) is acknowledged globally as a foundation of quality patient care and key to doctor–patient rapport. Student attitudes toward PCC have been assessed in some health professions and some international chiropractic institutions but is lacking in the South African chiropractic student context. This study explores this concept and compares these attitudes to other student groups. Methods A cross-sectional survey was conducted on chiropractic students (years 1, 3, 5, and 6) at a South African institution. The 18-item Patient–Practitioner Orientation Scale (PPOS), with scoring 1–6 on a Likert scale, was used to evaluate the attitude toward PCC by students. Higher scores were representative of more patient-centeredness. Variables were analyzed to assess for associations between variables. Mean PPOS scores were calculated, and reliability and validity were tested using Cronbach α and factor analysis. Results There were 100 respondents (68% response rate). The PPOS showed unsatisfactory reliability in our sample. The mean scores for the overall PPOS were 3.64 (SD = 0.46), the sharing subscale was 2.99 (SD = 0.61), and the caring subscale was 4.29 (SD = 0.58). There were small but suggestive trends noticed in PPOS scores based on age, sex, and year of study. Conclusions Chiropractic students from our university showed a general positive tendency toward PCC with no association between age and year of study. Sex showed some suggestive descriptive trends contrary to findings in other studies. The PPOS showed poor reliability in this study, warranting consideration with its use in similar contexts.

show abstract

“…It was used in international studies and translated into several languages. It was used locally in previous studies conducted among medical students in Saudi Arabia by Al-Bawardy and Fothan et al 13 , 14 A written permission was obtained from Krupat to use this tool in this study.…”

Section: Methodsmentioning

confidence: 99%

“… 12 It also concluded that physicians and nurses must participate in ongoing training programs in communication and interaction skills to be aware of the issues obstructing optimum care quality. 12 Although some local studies explored PCP among medical students, 13 , 14 dentists, 15 and nurses, 16 no sufficient published data exploring it among residency trainees in Saudi Arabia.…”

Section: Introductionmentioning

confidence: 99%

Attitudes of Family Medicine Trainees Towards Patient-Centeredness Practice

Al-Omran¹,

Alyousefi²

2023

IJGM

View full text Add to dashboard Cite

Objective The interaction between physicians and patients is essential in clinical practice. Patient-centered care (PCC) is becoming popular in healthcare and provides an approach to deliver high-quality healthcare to yield positive clinical outcomes. This study explores family medicine residents’ attitudes toward the physician–patient relationship and patient-centered care and the possible influence of demographic characteristics, level of training, school of graduation, and previous training. Methods A cross-sectional study was conducted among family medicine residents in Riyadh. They were invited to enroll in a web-based survey that includes demographic data, training details, and the “Patient Practitioner Orientation Scale (PPOS).”. Results A total of 114 family medicine residents completed the survey. There were 68 (59.6%) males and 46 (40.4%) female residents. The overall PPOS was 4.23 ± 0.53. The mean score for sharing domain was 3.97 ± 0.66. The caring domain scored 4.49 ± 0.57. No correlations were found between the residents’ demographic data and other included variables, and the means of sharing domain, caring domain, and overall score. Conclusion Family medicine residents were found to have positive attitudes toward patient-centeredness. Integrating patient-centered training early in the curriculum can improve healthcare students’ and trainees’ attitudes toward patient-centered care. Future research can explore the possible interventions in systematic assessment and training programs that can improve PCP.

show abstract

Cross-cultural comparison of the patient-centeredness of the hidden curriculum between a Saudi Arabian and 9 US medical schools

Cited by 11 publications

References 17 publications

Patient-centered care in the Middle East and North African region: a systematic literature review

Patient-centered care in the Middle East and North African region: a systematic literature review

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

Attitudes of Family Medicine Trainees Towards Patient-Centeredness Practice

Contact Info

Product

Resources

About