Objective To construct the evaluation indicators for assessing the doctor-patient communication skills of pediatric residents.Methods Using literature review and expert consultation methods, summarizing a self-designed doctor-patient communication assessment form. The evaluation table includes 24 items in 6 dimensions in total. Using the evaluation table analyze the scores of doctor-patient communication assessment of 161 residents in Beijing Children’s Hospital, Capital Medical University, to verify the internal consistency of different dimensions of the score table and the consistency of the scores of the nine examiners.Results The six dimensions of the Cronbach’s alpha coefficient in the evaluation table do not exceed 0.6, and the preferable dimension of internal consistency is “communication effect” (α=0.58). According to “whether the points were deducted” (categorical variables) to judge the consistency between the examiners, only two entries kappa value of two test sites≥ 0.4, “body language” and other eight entries were a test kappa≥ 0.4, the remaining 14 The entries kappa value of 5 test sites were <0.4, indicating poor consistency between examiners. According to the “specific scores deduction” (continuous variable) to judge the consistency between the examiners where the examination room D has 6 entries α value≥ 0.6, C only one Cronbach coefficient α 0.83, and with the examination room two examiners There is a big difference between the score and the phenomenon, indicating the need to strengthen the examiner training.Conclusions Need to further optimize the score sheet, develop specific grading standards, and explore scientific evaluation system of doctor-patient communication ability.
Wang Xiujuan
,
Wang Aihua
,
Liang Ying
,
Han Tongxin
,
Jiao Liping
,
Wang Liping
,
Lyu Yaqi
. Design and research on evaluation system to pediatric residency doctor-patient communication skills[J]. Chinese Journal of Medical Education, 2018
, 38(3)
: 439
-443
.
DOI: 10.3760/cma.j.issn.1673-677X.2018.03.028
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