Patient's image at future doctors as an indicator of preparedness to provide patient-oriented medical care
The analysis of the state of the problem of satisfaction of the population of the Russian Federation with the quality of the provided medical care made it possible to identify the contradiction between the requirements for its quality in the direction of its patient-orientation and the level of professional readiness of future doctors to act in accordance with these requirements, enshrined in the professional standard. Patient-centeredness is understood as the idea that the patient is at the center of the request for medical care, and the professionalism and competence of the doctor contributes to solving the patient's problem, based on this request, and not on the capabilities and limitations of medical practice. The scientific novelty lies in the fact that for the first time the readiness to provide patient-oriented medical care is studied through the content and structure of the patient's image among students of a medical university. The patient's image is considered as a dynamic component of the “Other” image in the structure of the world image of medical university students, the semantic space of which has a dynamic factor structure, meaningfully filled with an implicit system of meanings that determines the behavior of a future doctor when interacting with a patient. The practical significance of the results is expressed in the fact that the conclusions can serve as the basis for the development of academic disciplines and educational modules that provide patient-oriented practical training of future doctors. The study used a psychosemantic approach, a method of personal semantic differential, the personality questionnaire (Perm questionnaire I). The results of the study allow us to conclude that in the learning process for a freshman, the patient ceases to be an “equal” subject of interaction, becoming its object. Personal (self) characteristics with a positive emotional coloring in the patient's image at the beginning of training, change their polarity and significance at the end of training in the 1 st year. The revealed tendency to manifest domination and arrogance in the relationship of future doctors with patients, a tendency to manipulative behavior in the form of possession, domination, coercion, suppression, or manifestation of care, guardianship, pleasing the patient, testifies to a greater extent about the unwillingness of future doctors to provide a patient -oriented medical care.