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首页> 外文期刊>Israel Journal of Health Policy Research >Enhancing patient-doctor-computer communication in primary care: towards measurement construction
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Enhancing patient-doctor-computer communication in primary care: towards measurement construction

机译：加强初级保健中的医患计算机交流：走向测量构建

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Objective The traditional dyadic dynamics of the medical encounter has been altered into a triadic relationship by introducing the computer into the examination room. This study defines Patient-Doctor-Computer Communication (PDCC) as a new construct and provides an initial validation process of an instrument for assessing PDCC in the computerized exam room: the e-SEGUE. Material and methods Based on the existing literature, a new construct, PDCC, is defined as the physician’s ability to provide patient-centered care while using the computer during the medical encounter. This study elucidates 27 PDCC-related behaviors from the relevant literature and state of the art models of PDCC. These were embedded in the SEGUE communication assessment framework to form the e-SEGUE, a communication skills assessment tool that integrates computer-related communication skills. Based on Mackenzie et al.’s methodological approach of measurement construction, we conducted a two-phased content validity analysis by a general and expert panels of the PDCC behaviors represented in the e-SEGUE. This study was carried out in an environment where EMR use is universal and fully integrated in the physicians’ workflow. Results The panels consisted of medical students, residents, primary care physicians, healthcare leaders and faculty of medicine members, who rated and provided input regarding the 27 behaviors. Overall, results show high level of agreement with 23 PDCC-related behaviors. Conclusion The PDCC instrument developed in this study, the e-SEGUE, fared well in a rigorous, albeit initial, validation process has a unique potential for training and enhancing patient-doctor communication (PDC) in the computerized examination room pending further development.
机译：目的通过将计算机引入检查室，将传统的医学交流方式转变为三元关系。这项研究将患者-医生-计算机通信（PDCC）定义为一种新结构，并提供了一种用于评估计算机化考试室中PDCC的工具的初始验证过程：e-SEGUE。材料和方法根据现有文献，一种新的结构PDCC被定义为医师在医疗过程中使用计算机时能够提供以患者为中心的护理的能力。这项研究从相关文献和PDCC的最新模型中阐明了27种与PDCC相关的行为。这些被嵌入到SEGUE沟通评估框架中，形成了e-SEGUE，这是一种沟通技巧评估工具，集成了与计算机相关的沟通技巧。基于Mackenzie等人的测量方法，我们由e-SEGUE中的PDCC行为的一般专家小组进行了两阶段的内容有效性分析。这项研究是在普遍使用EMR并将其完全整合到医生工作流程中的环境中进行的。结果小组由医学生，住院医师，初级保健医师，卫生保健负责人和医学系成员组成，他们对27种行为进行了评分和输入。总体而言，结果显示与23种PDCC相关行为的高度一致性。结论本研究开发的PDCC仪器e-SEGUE在严格的初始验证过程中表现良好，尽管有初步的验证过程，但它有潜力在计算机化检查室中训练和增强医患沟通（PDC），有待进一步开发。

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