The Study of Relationship between Physicians' Attitude toward Professional Competence and Self-evaluation
Date Issued
2006
Date
2006
Author(s)
Hsu, Wen-Chi
DOI
zh-TW
Abstract
With the complexity of the modern technology and a growing need for care for chronic conditions to the once predominant need for acute episodic care, make healthcare system shows many problems associated with underuse, overuse and misuse. The health care system has became not as safe as it promise to be. Institute of Medicine (IOM) claims that "the competence-based medical education" is the one of the solutions to the current healthcare system’s problems, which means: "All health professionals should be educated to deliver patient-cantered care as member of an interdisciplinary teams, emphasizing evidence-based practice, quality improvement approaches, and informatics".
The purposes of this study are to understand physicians' attitude of professional competence (IOM five core competences) and how well they do by self-evaluation, and the relationship between them. This is a cross-sectional study with structural questionnaires that sent to physicians worked in sample hospitals and voluntarily participated in this study. The response rate was 40.18 percent. Major findings of this study were listed below:
1.There are 80 percent physicians agree or strongly agree with all professional competence statements, and the self-evaluation part, there are 40 percent to 50 percent physicians considerate that they often follow these statements.
2.The most drops between physicians' attitude and self-evaluation are: "applying quality improvement", "using informatics" and "emphasizing evidence-based practice".
3.According to the hypotheses testing, those factors related to physicians' attitude and self-evaluation are: gender, physician's qualification, hospital's property and hospital's level.
4.According to the hypotheses testing, physicians' attitude toward the part of professional competence had positive effects on physician's self-evaluation of the same part of professional competence.
Subjects
醫師專業能力
自我評價
病人為中心的照護
醫療專業團隊
實證醫學
品質改善
醫療科技
professional competence
self-evaluation
patient-centered care
interdisciplinary team
evidence-based medicine
quality improvement
medical informatics
Type
thesis
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