Audiologists' preferences for patient-centredness: a cross-sectional questionnaire study of cross-cultural differences and similarities among professionals in Portugal, India and Iran

BMJ Open. 2014 Oct 14;4(10):e005915. doi: 10.1136/bmjopen-2014-005915.

Abstract

Objective: Patient-centredness has become an important aspect of health service delivery; however, there are a limited number of studies that focus on this concept in the domain of hearing healthcare. The objective of this study was to examine and compare audiologists' preferences for patient-centredness in Portugal, India and Iran.

Design: The study used a cross-sectional survey design with audiologists recruited from three different countries.

Participants: A total of 191 fully-completed responses were included in the analysis (55 from Portugal, 78 from India and 58 from Iran).

Main outcome measure: The Patient-Practitioner Orientation Scale (PPOS).

Results: PPOS mean scores suggest that audiologists have a preference for patient-centredness (ie, mean of 3.6 in a 5-point scale). However, marked differences were observed between specific PPOS items suggesting these preferences vary across clinical situations. A significant level of difference (p<0.001) was found between audiologists' preferences for patient-centredness in three countries. Audiologists in Portugal had a greater preference for patient-centredness when compared to audiologists in India and Iran, although no significant differences were found in terms of age and duration of experience among these sample populations.

Conclusions: There are differences and similarities in audiologists' preferences for patient-centredness among countries. These findings may have implications for the training of professionals and also for clinical practice in terms of optimising hearing healthcare across countries.

Keywords: International health services < HEALTH SERVICES ADMINISTRATION & MANAGEMENT; MEDICAL EDUCATION & TRAINING.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Audiology*
  • Cross-Cultural Comparison*
  • Cross-Sectional Studies
  • Female
  • Humans
  • India
  • Iran
  • Male
  • Patient-Centered Care*
  • Portugal
  • Practice Patterns, Physicians'*
  • Surveys and Questionnaires*