O'Keefe M
Adelaide University, Department of Paediatrics, Women's and Children's Hospital, North Adelaide, SA 5006, Australia.
J Paediatr Child Health. 2001 Dec;37(6):531-8. doi: 10.1046/j.1440-1754.2001.00755.x.
Medical consultations in which doctors display good interpersonal skills are associated with a wide range of positive health outcomes. Obtaining the perceptions of patients, or parents in paediatric settings, regarding the interpersonal skills demonstrated by their doctors could provide feedback on doctor behaviours that influence health outcomes. It could also offer an alternative to more traditional methods of assessing interpersonal skills, such as using standardized patients. Patient perceptions of doctor interpersonal skills are most commonly obtained through patient-completed satisfaction questionnaires. A literature review was conducted with the aim of examining the potential role of parent perceptions in the evaluation of paediatric interviews. Studies identified were reviewed for information regarding the rationale for obtaining parent perceptions, the reliability and validity of measures used, the association between parent evaluations and specific doctor interview behaviours and the acceptability and feasibility of obtaining this information. Practical applications of the information obtained from parent evaluations were also sought. There was considerable support for the inclusion of patient evaluations in the assessment of the interpersonal skills of medical students and doctors. Reliable and valid measurement of patient evaluations can be obtained and patients are willing to provide this information. A clear association between specific doctor interview behaviours and parent satisfaction ratings was demonstrated. However, the important issue of feasibility and acceptability to doctors and medical students of obtaining patient perceptions of interpersonal skills, was not addressed. Patient evaluations of the interpersonal skills displayed by their doctors should be a component of clinical skills assessments. Information obtained from parents relating to the care of children could provide feedback to doctors regarding their personal interviewing style. In order to make full use of the information obtained from parents, there is a need for further study to establish the sensitivity of parent evaluations and methods to facilitate the process of obtaining this information.
医生展现出良好人际沟通技巧的医疗咨询与广泛的积极健康结果相关联。了解患者或儿科环境中患儿家长对医生所展示的人际沟通技巧的看法，可以为影响健康结果的医生行为提供反馈。这也可以为评估人际沟通技巧的更传统方法（如使用标准化患者）提供一种替代方案。患者对医生人际沟通技巧的看法最常通过患者填写的满意度问卷来获取。进行了一项文献综述，旨在研究家长看法在儿科问诊评估中的潜在作用。对所确定的研究进行了审查，以获取有关获取家长看法的基本原理、所用测量方法的可靠性和有效性、家长评价与特定医生问诊行为之间的关联以及获取此信息的可接受性和可行性等方面的信息。还寻求了从家长评价中获得的信息的实际应用。在评估医学生和医生的人际沟通技巧时纳入患者评价得到了相当多的支持。可以获得对患者评价的可靠且有效的测量，并且患者愿意提供此信息。特定医生问诊行为与家长满意度评分之间存在明显关联。然而，获取患者对人际沟通技巧看法对医生和医学生而言的可行性和可接受性这一重要问题并未得到解决。患者对医生所展示的人际沟通技巧的评价应成为临床技能评估的一个组成部分。从家长那里获得的与儿童护理相关的信息可以就医生的个人问诊风格向他们提供反馈。为了充分利用从家长那里获得的信息，需要进一步研究以确定家长评价的敏感性以及促进获取此信息过程的方法。
