病人評比之醫療人員溝通能力評估工具 [初步整理]

依據引用次數選定了5個常見的病人自評之醫療人員溝通能力評估工具：

1. Communication   Assessment Tool (CAT)
2. a modified version of the Perceived Involvement in Care Scale (M-PICS)
3. Matched-pair instrument (MPI)
4. the Four Habit Patient Questionnaire (4HPQ)
5. Communication skills instruments

[目的：常用的病人評比之醫療人員溝通能力評估工具，判斷適用性] 相關性、適用情境

Scale	Reference	Measure format	dimension	Measure	Citation indexes
1. Communication Assessment Tool (CAT)	Makoul (2007)	Physicians-reported Patients-reported	Uni-dimensional CAT measuring patient perceptions of physician performance in the area of interpersonal and communication skills. >>單向度???	Ÿ 15-item ž 14 doctor-oriented items ž 1 staff-oriented item Ÿ 5-point scale ž 1 = poor ž 2 = fair ž 3 = good ž 4 = very good ž 5 = excellent Ÿ summarizing score: 75 Ÿ Percent-excellent rating Ÿ Time: 1-2 min	158
2. a modified version of the Perceived Involvement in Care Scale (M-PICS)	Smith (2006)	Patient-reported	4 dimensional 1. Health care provider information (HCP-I) (6 item): the degree to which the HCP was perceived as controlling the information-exchange process. à Higher score indicating less controlling behavior. 2. Patient Information (PI) (5 item): the extent to which the patient sought or shared information with his/her health care provider. 3. Patient Decision Making (PDM) (4 item): patient participation in decision making during the medical visit. 4. Health care Provider Facilitation (HCP-FAC) (5 item): patients’ perceived encouragement to raise questions and discuss their medical symptoms with their HCP.	Ÿ 20-item Ÿ 5-point scale ž 1=All the time ž 5 = Never Ÿ Total score: 20-100	48
3. Matched-pair instrument (MPI)	Campbell (2007)	Parallel content: doctor and patient	Bi-dimensional Separated form (Patient or doctor) 1.    Process 2.    Content Combined form (38 items) 1.     Doctor 2.     Patient	Ÿ 19-item Ÿ 5-point scale Ÿ Total score: 95/	32
4. the Four Habit Patient Questionnaire (4HPQ)	Gulbrandsen (2008)	Patient-reported	Uni-dimensional	Ÿ 10-item Ÿ 4-point scale ž 1=definitely yes ž 2=somewhat yes ž 3= somewhat no ž 4=definitely no Ÿ Total score: 40	26
5. Communication skills instruments	Baig (2009)	Physician-reported standardized patients (SPs)	Bi-dimensional 1.     Knowledge of communication skills 2.     Application of communication skills	Ÿ 13-item Ÿ 5-point scale ž 1 = strongly disagree ž 3 = neutral ž 5 = strongly agree Ÿ Total score: 45	25

Reference:

Patient-reported

Ÿ  Gulbrandsen P, Krupat E, Benth JS, Garratt A, Safran DG, et al. (2008) ‘‘Four Habits’’ goes abroad: report from a pilot study in Norway. Patient Education and Counseling 72: 388–393.

Ÿ  Smith MY, Winkel G, Egert J, Diaz-Wionczek M, DuHamel KN. Patient-physician communication in the context of persistent pain:Validation of a modified version of the patients'perceived involvement in care scale. J Pain Symptom Manage. 2006;32:71–81.

Both physician and patient-reports

Ÿ  Baig L., Violato C., Crutcher R. 2009. “Assessing Clinical Communication Skills in Physicians: Are the Skills Context Specific or Generalizable?” BMC Medical Education 9: 22.

Ÿ  Campbell C, Lockyer J, Laidlaw T, MacLeod H (2007) Assessment of a matched-pair instrument to examine doctor-patient communication skills in practising doctors. Medical Education 41: 123–129.

Ÿ  Makoul G, Krupat E, Chang CH (2007) Measuring patient views of physician communication skills: Development and testing of the Communication Assessment Tool. Patient Education and Counseling 67: 333–342.