Enhancing patient-doctor-computer communication in primary care: towards measurement construction

Israel Journal of Health Policy Research

Shmuel Reis³  Joseph S Pliskin¹  Tsipi Heart⁴  Iris Reychav²  Shiri Assis-Hassid² 

[1] Department of Health Systems Management, Ben-Gurion University of the Negev, Beer-Sheva, Israel;Department of Industrial Engineering and Management, Ariel University, Ariel, Israel;Faculty of Medicine in the Galilee, Bar Ilan University, Safed, Israel;Department of Business Administration, Ono Academic College, Kiryat Ono, Israel

关键词: Communication skills;    Electronic medical record;    Primary care;    Patient-doctor-computer communication;   

Others  :  1210483
DOI  :  10.1186/2045-4015-4-4

 received in 2014-08-25, accepted in 2015-01-10,  发布年份 2015

【 摘 要 】

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 computerduring 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.

【 授权许可】

   
2015 Assis-Hassid et al.; licensee BioMed Central.

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