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Year : 2011  |  Volume : 24  |  Issue : 1  |  Page : 387

General Population and Medical Student Perceptions of Good and Bad Doctors in Mozambique

1 Faculdade de Ciências de Saúde, Universidade Católica de Moçambique, Beira, Mozambique
2 Department of Biomedical Science, School of Health and Applied Science, Polytechnic of Namibia, Namibia
3 Symfora Group, Amersfoort, The Netherlands

Correspondence Address:
A Pfeiffer
Faculdade de Ciências de Saúde, Universidade Católica de Moçambique, Rua Marquez de Soveral 960, CP821, Beira
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Source of Support: None, Conflict of Interest: None

PMID: 21710412

Context: A key element of the doctor-patient relationship is to understand the patient's and doctor's perceptions of quality care. Objectives : To assess the perceptions of good and bad doctors among first-year medical students and local community members in a semi-urban, African setting. Methods: Using open-ended and closed dichotomous questions, 115 first-year medical students in Beira, Mozambique were surveyed regarding their perceptions of a 'good' and 'bad' doctor. Students then surveyed 611 community members in a predominately poor, semi-urban neighbourhood. Results: Answers to open-ended questions provided by both groups produced the same four most important positive characteristics, with good diagnostic and therapeutic skills and dedication ranked highest. Closed-ended questions revealed that local community members felt that being concerned/considerate and diagnosing well were equally important (19.5% and 17.5%, respectively) compared to students (17.5% and 41.2%, respectively). The most important negative characteristics to the open-ended question for both groups were discrimination and contemptuous behaviour: 29.3% for community members and 27.4% for medical students. The biggest difference between groups was poor attending skills: 17.3% by community members and 3.9% by medical students. Conclusion: This study highlights differences and similarities between the perceptions of medical students and community members concerning a 'good' and a 'bad' doctor. Our data suggest that perceptions are guided by the experiences and values of those interviewed. Results indicate that medical education in developing countries should focus on patient-centered care, including communication skills and attitudes, besides training knowledgeable doctors.

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