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ORIGINAL ARTICLE
Year : 2016  |  Volume : 2  |  Issue : 1  |  Page : 1-4

Patient-centeredness: A Comparison of Doctors' Orientation by Specialty in a Teaching Hospital in Nigeria


1 Medical Services Unit, Federal Neuro Psychiatric Hospital, Barnawa-Kaduna, Kano, Nigeria
2 Department of Psychiatry, Aminu Kano Teaching Hospital, Kano, Nigeria
3 Department of Psychiatry, University of Calabar Teaching Hospital, Calabar, Nigeria
4 Department of Clinical Services, Federal Neuro Psychiatric Hospital, Kware-Sokoto, Nigeria

Correspondence Address:
Dr. Tajudeen Abiola
Federal Neuro Psychiatric Hospital, Barnawa-Kaduna
Nigeria
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2423-7752.181798

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Context: There is a dearth of research on the orientations physicians bring into the patients physicians relationship in Nigeria. More scare was to find which specialty doctors were high on patient-centered care. To breach this gap, the study looked at doctors' orientation to patient-centeredness by specialty in Aminu Kano Teaching Hospital (AKTH), Kano, a major tertiary health institution in North-Western Nigeria. Aim: This study aimed to determine the range of patient-centeredness by medical specialty among doctors working in AKTH, Kano. Methods: This is a cross-sectional study in which 110 physicians representing eight medical specialties in AKTH, Kano-Nigeria filled the sociodemographic questionnaire and Patient-Practitioner Orientation Scale (PPOS). Statistical Analysis Used: Data collected were analyzed using IBM-SPSS 21 software using descriptive statistics to determine the frequency, cross-tabulations, means, and differences and Cronbach's alphas to assess the PPOS internal consistency. Result: The three topmost patient-centered oriented specialties on all the three outcome scores are psychiatry, obstetrics/gynecology, and maxillofacial/dental unit (in descending order). Conversely, the lowest orientations are noted for internal medicine and family medicine specialties. Specialties with medium patient-centered orientation are surgery, radiology, and pediatrics. Conclusion: Our results concluded that the most patient-centered medical specialty in the place of study is psychiatry. It argued that low mortality rate and the chronic care practice model might be contributory factors. Elucidating on other contributing factors should be one of the challenges of future studies.


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