How patient-centred am I? A new method to measure physicians' patient-centredness

Patient Educ Couns. 2006 Jul;62(1):31-7. doi: 10.1016/j.pec.2005.05.017. Epub 2005 Jul 15.

Abstract

Objective: To describe a new method to determine physicians' self-perceived degree of patient-centredness. A pilot study combining qualitative and quantitative methods.

Methods: Forty-one general practitioners (GPs) answered a questionnaire consisting of three open-ended questions about their view of the consultation and by choosing among 28 roles of the physician in the physician-patient relationship. Twenty of the GPs had participated in Balint groups while 21 had had no access to Balint group. Patient-centredness is central to Balint groups and consequently Balint group participants would be expected to be patient-centred.

Results: The answers to the two parts were divided into three groups each, patient-centred, non-patient-centred and intermediary, and analysed statistically. Significantly more Balint participants were patient-centred than the reference group.

Conclusion: The instrument describes physicians' self-perceptions of their patient-centredness and can distinguish a group of patient-centred physicians from a group of non-patient-centred physicians.

Practice implications: The instrument can be useful to evaluate educational programmes and detect decline in patient-centredness as early sign of burnout.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Attitude of Health Personnel
  • Communication
  • Discriminant Analysis
  • Female
  • Health Knowledge, Attitudes, Practice
  • Health Services Needs and Demand
  • Holistic Health
  • Humans
  • Individuality
  • Male
  • Patient-Centered Care* / standards
  • Philosophy, Medical
  • Physician's Role / psychology
  • Physician-Patient Relations*
  • Physicians, Family / education
  • Physicians, Family / psychology*
  • Pilot Projects
  • Professional Competence* / standards
  • Psychoanalytic Therapy
  • Qualitative Research
  • Self-Assessment*
  • Surveys and Questionnaires / standards*
  • Sweden