Building a professionalism framework for healthcare providers in China: A nominal group technique study
Journal
Medical Teacher
Journal Volume
35
Journal Issue
10
Date Issued
2013
Author(s)
Abstract
Background: Medical professionalism is valued globally. However, Western frameworks of medical professionalism may not resonate with the cultural values of non-Western countries. Aims: This study aims to formulate a professionalism framework for healthcare providers at Peking Union Medical College (PUMC) in China. Methods: This study was conducted using nominal group technique (NGT) in a convenient sample of 97 participants at PUMC in November and December, 2011. Participants were sorted into 13 occupational groups, each discussing and ranking categories of medical professionalism. The authors compared the results of each group's ranked categories and analyzed meeting transcripts. Results: A pre-existing framework provided eight categories: clinical competence, communication, ethics, humanism, excellence, accountability, altruism, and integrity. Participants created four categories: teamwork, self-management, health promotion, and economic considerations. Clinical competence and communication ranked highly among most groups. Only hospital volunteers and resident physicians included self-management in their top-ranked items. Only public health experts prioritized health promotion. Standardized patients were unique in mentioning "economic considerations." Medical students and attending physicians both referenced Chinese traditional values. Conclusions: Our study was able to document effects of East Asian cultural influences and conflicts between Western ideologies and Asian traditions that led to divergent interpretations of medical professionalism. ? 2013 Informa UK Ltd.
SDGs
Other Subjects
adult; altruism; article; China; clinical competence; doctor patient relation; female; health care personnel; health personnel attitude; health promotion; human; interpersonal communication; male; medical ethics; middle aged; professional standard; psychological aspect; health care personnel; psychology; Adult; Altruism; Attitude of Health Personnel; China; Clinical Competence; Communication; Ethics, Clinical; Female; Health Personnel; Health Promotion; Humans; Male; Middle Aged; Physician-Patient Relations; Professional Role; Adult; Altruism; Attitude of Health Personnel; China; Clinical Competence; Communication; Ethics, Clinical; Female; Health Personnel; Health Promotion; Humans; Male; Middle Aged; Physician-Patient Relations; Professional Role
Type
journal article