ArticleBMC medical education2022
A 4-factor perspective of the patient-practitioner orientation scale (PPOS): a deeper understanding of patient-centredness.
Article in BMC medical education, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Dual attitudes toward doctors: the role of shared decision-making and empathy in frustrated medical treatment in a randomized trial.Frontiers in public health · 2026Trial
- Integrating Generative AI Into Clinical Reasoning Education for Medical Students: Mixed Methods Study.JMIR medical education · 2026Article
- Patient-Centered Attitudes and Associated Factors Among Medical Students in Spain: A Cross-Sectional Study.Cureus · 2026Article
- Doctors should choose communication strategies based on the patient's attitude toward disease and healthcare workers: a study in Jiangsu, China.Frontiers in health services · 2025Article
- New Evidences About Multidimensionality of the Patient-Practitioner Orientation Scale (PPOS) Construct in Undergraduate Medical Students.Medical science educator · 2024Article
- Observational
- Attitudes toward Patient-Centred Care, Empathy, and Assertiveness among Students in Rehabilitation Areas: A Longitudinal Study.Healthcare (Basel, Switzerland) · 2023Article
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Authors and funding
6 authors.
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Abstract
backgroundAlthough patient-centred medical services are widely recognized and accepted, how to define and evaluate them remains a controversial topic.
objectivesThis study attempts to evaluate the underlying structure of the Patient-Practitioner Orientation Scale (PPOS) with a homogenous population and clarify the connotation of patient-centredness.
methodsIn this cross-sectional study, 279 7th year Chinese medical students in were selected to examine the internal structure of the PPOS by means of internal consistency, exploratory, and confirmatory factor analyses.
resultsBoth the two-factor model and the four-factor model showed acceptable internal consistency and structural validity. The four-factor model that endorsed the implicit attitude towards the doctor-patient relationship outperformed the two-factor model in terms of adaptability.
conclusionsThe PPOS has good psychometric attributes, as evaluated by Chinese medical students. This article attempts to explore patient-centredness from the perspective of implicit attitudes that affect the doctor-patient relationship and resummarizes the four factors. These four dimensions may suggest a deeper attitude towards the doctor-patient relationship, while "sharing information" or "caring about" the "patient" is the behaviour and preference expressed on the basis of these four attitudes, which is the result rather than the cause. PRACTICE IMPLICATIONS: Understanding the underlying attitudes towards the doctor-patient relationship can help to construct a patient-centred medical service concept and improve the doctor-patient relationship in medical education courses and the system design of medical activities.
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