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Enhancing patient-doctor-computer communication in primary care: towards measurement construction
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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4422467/ https://www.ncbi.nlm.nih.gov/pubmed/25949798 http://dx.doi.org/10.1186/2045-4015-4-4 |
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author | Assis-Hassid, Shiri Reychav, Iris Heart, Tsipi Pliskin, Joseph S Reis, Shmuel |
author_facet | Assis-Hassid, Shiri Reychav, Iris Heart, Tsipi Pliskin, Joseph S Reis, Shmuel |
author_sort | Assis-Hassid, Shiri |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4422467 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-44224672015-05-07 Enhancing patient-doctor-computer communication in primary care: towards measurement construction Assis-Hassid, Shiri Reychav, Iris Heart, Tsipi Pliskin, Joseph S Reis, Shmuel Isr J Health Policy Res Original Research Article 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. BioMed Central 2015-02-23 /pmc/articles/PMC4422467/ /pubmed/25949798 http://dx.doi.org/10.1186/2045-4015-4-4 Text en © Assis-Hassid et al.; licensee BioMed Central. 2015 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Original Research Article Assis-Hassid, Shiri Reychav, Iris Heart, Tsipi Pliskin, Joseph S Reis, Shmuel Enhancing patient-doctor-computer communication in primary care: towards measurement construction |
title | Enhancing patient-doctor-computer communication in primary care: towards measurement construction |
title_full | Enhancing patient-doctor-computer communication in primary care: towards measurement construction |
title_fullStr | Enhancing patient-doctor-computer communication in primary care: towards measurement construction |
title_full_unstemmed | Enhancing patient-doctor-computer communication in primary care: towards measurement construction |
title_short | Enhancing patient-doctor-computer communication in primary care: towards measurement construction |
title_sort | enhancing patient-doctor-computer communication in primary care: towards measurement construction |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4422467/ https://www.ncbi.nlm.nih.gov/pubmed/25949798 http://dx.doi.org/10.1186/2045-4015-4-4 |
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