Investigation and analysis on perceptions of doctor-patient relationship and willingness to engage in medical work among medical students before and after the outbreak of COVID-19

doi:10.3760/cma.j.cn115259-20220920-01202

Abstract

Abstract: Objective To analyze the changes in medical students' perceptions of the doctor-patient relationship and willingness to engage in medical work before and after the COVID-19 outbreak, providing reference for medical educators. Methods Using a questionnaire survey method, a cluster sampling survey was conducted on medical students (405 before the COVID-19, 120 after the COVID-19) at a medical university in Heilongjiang Province before and after the outbreak of the COVID-19 (March to June 2019, November 2021 to April 2022). The propensity score matching method was used to balance the baseline characteristics of two groups of medical students (104 before and after the COVID-19). Using chi square test to analyze the differences in their perceptions of doctor-patient relationship and willingness to engage in medical work before and after the COVID-19. Results After using the propensity score matching method, there was no statistically significant difference in gender, grade, major, clinical internship experience, whether or not had witnessed or experienced hospital violence before and after the COVID-19[all P>0.05. for example, the number of female students before and after the COVID-19 was 68 (65.4%) and 66 (63.5%), P=0.772]. After the epidemic, the proportion of medical students who had a positive understanding of doctor-patient relationships increased compared with that before the epidemic [18 (17.3%) vs.5 (4.8%)], the willingness of medical students to work increased compared with that before the epidemic [102 (98.1%) vs. 89 (85.6%)], and the differences were statistically significant (all P<0.05). Conclusions After the outbreak of the COVID-19, medical students have shown a positive trend in their perceptions of doctor-patient relationships and their willingness to engage in medical work. It is recommended that medical educators guide and strengthen their understanding by actively exploring various educational methods according to the situation.

Key words: Students, medical, COVID-19, Cognition of doctor-patient relationship, Willingness to engage in medical work, Propensity score matching method

CLC Number:

Cao Yiyin, Zhang Lin, Zhou Jin, Gao Lei. Investigation and analysis on perceptions of doctor-patient relationship and willingness to engage in medical work among medical students before and after the outbreak of COVID-19[J]. Chinese Journal of Medical Education, 2023, 43(10): 721-724.

References

[1] 马璇璇, 吴红斌, 叶晓阳. 新冠疫情是否提高了医学生的职业认同?——来自全国临床医学本科生调查数据的发现[J].复旦教育论坛,2021,19(6):104-112. DOI: 10.3969/j.issn.1672-0059.2021.06.020.
[2]池上新, 陈俊行, 吕师佳, 等. 新冠肺炎疫情中公众对医护人员信任状况分析[J].中国公共卫生,2021,37(12):1783-1787.DOI:10.11847/zgggws1133392.
[3]Passemard S, Faye A, Dubertret C, et al. Covid-19 crisis impact on the next generation of physicians: a survey of 800 medical students[J].BMC Med Educ,2021,21(1):529. DOI: 10.1186/s12909-021-02955-7.
[4]代丽丽, 白若靖, 吕诗韵, 等. 新型冠状病毒肺炎疫情对医学生教育的影响和启示[J].医学教育管理,2022,8(z1):129-133. DOI: 10.3969/j.issn.2096-045X.2022.S1.032.
[5]严吉, 杨超群, 金学睿, 等. 后疫情时代部分临床医学本科生从医意愿现状调查分析[J].中国医药科学,2022,12(12):95-99. DOI: 10.3969/j.issn.2095-0616.2022.12.025.
[6]吴小艳, 张岩波, 解军, 等. 新冠肺炎疫情对医学生就业取向的影响[J].中国高等医学教育,2022(3):6-7. DOI: 10.3969/j.issn.1002-1701.2022.03.003.
[7]李俊龙, 陈余梅, 李心月, 等. 医学生的新冠肺炎疫情认知对专业就业意愿的影响[J].中国社会医学杂志,2022,39(5):535-539. DOI: 10.3969/j.issn.1673-5625.2022.05.012.
[8]贺倩倩, 张军锋. 倾向评分匹配法在横断面资料处理中的应用价值研究[J].中国卫生统计,2018,35(3):391-394.
[9]黄丽红, 陈峰. 倾向性评分方法及其应用[J].中华预防医学杂志,2019,53(7):752-756. DOI:10.3760/cma.j.issn.0253-9624.2019.07.017.
[10]Zhou Y, Ma Y, Yang W, et al. Doctor-patient relationship improved during COVID-19 pandemic, but weakness remains[J].BMC Fam Pract,2021,22(1):255. DOI: 10.1186/s12875-021-01600-y.
[11]吴佩林, 刘群英, 张雁群, 等. 医学生与非医学生对疫情期间涉医报道的感知差异[J].南京医科大学学报(社会科学版),2022,22(2):158-163. DOI: 10.7655/NYDXBSS20220210.
[12]王小许,蔡文伯,柴蒙亮.后疫情时代我国卫生人力资源供求预测的实证研究[J].成都师范学院学报,2020,36(8):109-116. DOI:10.3969/j.issn.2095-5642.2020.08.017.
[13]苏彬彬,刘尚君,卢彦君,等.基于集聚度的我国基层卫生人力资源配置评价研究[J].中国卫生政策研究,2021,14(4):49-54. DOI: 10.3969/j.issn.1674-2982.2021.04.007.

[1]	Zhang Zhiying, Zhang Ruyi, Zhai Shaoqi, Li Hanlin, Peng Yingchun. Investigation and analysis on medical students’ perceptions of medical professionalism [J]. Chinese Journal of Medical Education, 2023, 43(5): 337-341.
[2]	Zhai Xiaoyan, Zang Yuqin, Jing Peng, Zhang Shipan, Liu Jing, Ni Aihua. The psychological state of the medical students during COVID-19 pandemic and risk factors concerned [J]. Chinese Journal of Medical Education, 2022, 42(9): 787-791.
[3]	Guo Hong, Guo Rui, Zhao Yang, Liu Huijun, Li Xiaoxia. Study on medical student's perceptions and influencing factors related to the development of medical professionalism [J]. Chinese Journal of Medical Education, 2022, 42(4): 314-317.
[4]	Zhai Xiaoyan, Zhang Kun, Jing Peng, Lei Fuqiang, Zhao Yan, Gao Wenjuan, Liu Hua, Han Jiting, Ni Aihua. Investigation and analysis of mental health and coping styles of college students during the prevention and control of COVID-19 epidemic [J]. Chinese Journal of Medical Education, 2022, 42(12): 1093-1097.
[5]	Ding Ning, Zhou Xiaobei, Li Honghe, Xin Chunyu, Song Xinzhi, Cui Xuemei, Wen Deliang. Research on medical professionalism based on a text analysis of news during the period of COVID-19 pandemic prevention and control [J]. Chinese Journal of Medical Education, 2022, 42(1): 20-23.
[6]	Huang Xiaohan, He Xie, Zhu Bingjing, Deng Caixia, Bian Shizhu, Li Yang, Luo Hu. Investigation on cognition and anxiety status of trainees receiving standardized resident training for COVID-19 pandemic [J]. Chinese Journal of Medical Education, 2021, 41(9): 799-802.
[7]	Zhao Feng, Wang Jili, Zhu Xinli, Yao Guorong, Lu Zhongjie, Yan Senxiang. Survey on online learning satisfaction and analysis of influencing factors of different types of medical students during the COVID-19 pandemic [J]. Chinese Journal of Medical Education, 2021, 41(9): 826-830.
[8]	Cheng Junxiang, Bian Weina, Dong Yue, Shi Baowei. The influence of stress management and resilience training on the psychological resilience and anxiety level of international nursing students in a university in Ireland [J]. Chinese Journal of Medical Education, 2021, 41(8): 763-767.
[9]	Lyu Fangli, Shen Jilong. Teaching of human parasitology for international students during COVID-19 pandemic background [J]. Chinese Journal of Medical Education, 2021, 41(6): 504-508.
[10]	Wang Guangjie, Zhao Huiying, Zeng Qingqi, Lyu Jie, An Youzhong. The impact from pandemic of COVID-19 on medical specialist training in critical care medicine [J]. Chinese Journal of Medical Education, 2021, 41(5): 385-389.
[11]	Chen Ping. A study on the professionalism of healthcare workers fighting against the COVID-19 pandemic in Hubei based on grounded theory [J]. Chinese Journal of Medical Education, 2021, 41(5): 433-437.
[12]	Zhang Guining, Wu Cailin, Wang Sheng, He Xuehong, Long Shanlian, Wei Wei, Yu Kehan, Huang Huiqiao. The investigation and analysis of the cognition, attitudes and training needs of standardized training residents for COVID-19 infection prevention and control during the pandemic [J]. Chinese Journal of Medical Education, 2021, 41(4): 343-346.
[13]	Sun Aihua, Li Xinxin. Investigation on learning procrastination and its influencing factors among medical students during the COVID-19 pandemic [J]. Chinese Journal of Medical Education, 2021, 41(11): 986-989.
[14]	Zhao Wanjun, Yang Jiabin, Ye Yan, Li Zhihui, Wei Tao. Investigation and influencing-factors analysis on pre-graduation anxiety of medical graduates during COVID-19 pandemic [J]. Chinese Journal of Medical Education, 2021, 41(11): 990-994.
[15]	Liu Jiaxin, Chen Ximo, Ke Jiahai, Chen Zhan. Investigation on the application of the online teaching platform in Guangzhou Medical University during the COVID-19 pandemic [J]. Chinese Journal of Medical Education, 2021, 41(11): 999-1003.