目的:根据录像咨询,确定测量医生沟通和人际交往能力的标准化仪器。
方法:我们在电子数据库中搜索了1950年至2022年发表的主要研究。符合条件的研究必须报告标准化仪器的验证,该仪器专门用于评估基于视频记录的成人患者咨询的医师人际交往能力。
结果:在检索到的7155项研究中,包括13项主要研究,涉及9项标准化仪器。医生和参与者的中位数为23人(范围,1-200)和71(范围,1-950),分别。九种仪器中有七种是多维的,包括23个项目的中位数(范围,7-95).仅报告了两项文书的概念框架。内容分析确定了12个关键行为,这些行为在不同的工具中存在大量重叠。四习惯编码方案(4-HCS)产生了令人满意的有效性和可靠性,而其他工具对心理测量特性的证据有限。
结论:有限的证据支持大多数已发布的标准化工具的心理测量属性,这些工具致力于评估医生的沟通和人际交往能力。
结论:尽管使用特定仪器的决定取决于研究目标,4-HCS似乎是根据录像会诊评估医师沟通和人际交往能力的最可靠工具.
To identify standardized instruments measuring physician communication and interpersonal skills based on video-recorded consultations.
We searched electronic databases for primary studies published from 1950 to 2022. Eligible studies had to report the validation of standardized instruments dedicated to the assessment of physician interpersonal skills based on video-recorded consultations with adult patients.
Of 7155 studies retrieved, 13 primary studies involving nine standardized instruments were included. The median number of physicians and participants was 23 (range, 1-200) and 71 (range, 1-950), respectively. Seven out of nine instruments were multidimensional and comprised a median number of 23 items (range, 7-95). The conceptual framework was reported for two instruments only. Content analysis identified 12 key behaviors with substantial overlap across instruments. The Four Habits Coding Scheme (4-HCS) yielded satisfactory validity and reliability while the evidence on psychometric properties was limited for other instruments.
Limited evidence supports the psychometric attributes for most of the published standardized instruments dedicated to assessing physician communication and interpersonal skills.
Although the decision to use a specific instrument depends on the study aims, the 4-HCS appears to be the most reliable instrument for assessing physician communication and interpersonal skills based on video-recorded consultations.