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BMJ Open. 2017 Sep 18;7(9):e016902. doi: 10.1136/bmjopen-2017-016902.

Measuring the preference towards patient-centred communication with the Chinese-revised Patient-Practitioner Orientation Scale: a cross-sectional study among physicians and patients in clinical settings in Shanghai, China.

Author information

1
Key Laboratory of Public Health Safety, Ministry of Education, School of Public Health, Fudan University, Shanghai, China.
2
Department of Child and Adolescent Psychiatry, Erasmus University Medical Center, Rotterdam, The Netherlands.
3
School of Basic Medical Sciences, Fudan University, Shanghai, China.

Abstract

OBJECTIVES:

To adapt the Patient-Practitioner Orientation Scale (PPOS), to a Chinese context, and explore the preference towards patient-centred communication among physicians and patients with the Chinese-revised Patient-Practitioner Orientation Scale (CR-PPOS).

DESIGN:

A cross-sectional questionnaire-based study.

SETTING:

Clinical settings from eight medical units, including four community hospitals and four general hospitals, in Shanghai, China.

PARTICIPANTS:

1018 participants, including 187 physicians and 831 patients, completed this study in two successive stages.

OUTCOME MEASUREMENTS:

Psychometric properties of the CR-PPOS and participants' score on the CR-PPOS.

RESULTS:

Compared with the original PPOS, the 11-item CR-PPOS obtained better psychometric indices. Physicians and patients scored differently on both the total CR-PPOS and its two subscales. Compared with physicians, the scores of patients were more influenced by their personal characteristics, such as age and education.

CONCLUSIONS:

The CR-PPOS is a better instrument in a Chinese context than the original translated version. The divergence in the extent to which patient-centred communication is preferred among Chinese physicians and patients should be noted. Adapting physicians' communication strategy to patients' preferences based on their personal characteristics can be a viable approach towards improving clinical efficiency.

KEYWORDS:

chinese; clinical setting; patient-centered communication; scale

PMID:
28928188
PMCID:
PMC5623567
DOI:
10.1136/bmjopen-2017-016902
[Indexed for MEDLINE]
Free PMC Article

Conflict of interest statement

Competing interests: JW had financial support from the China Postdoctoral Science Foundation for the submitted work, FW has received funds from Shanghai Health and Family Planning Commission; no financial relationships with any organisations that might have an interest in the submitted work in the previous three years; no other relationships or activities that could appear to have influenced the submitted work.

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