de Lusignan S, Wells S E, Russell C, Bevington W P, Arrowsmith P
Primary Care Informatics, Department of General Practice and Primary Care, St George's Hospital Medical School, London, UK.
Med Inform Internet Med. 2002 Dec;27(4):267-80. doi: 10.1080/1463923031000081603.
A rating scale was developed to assess the contribution made by computer software towards the delivery of a quality consultation, with the purpose of informing the development of the next generation of systems. Two software programmes were compared, using this scale to test their ability to enable or inhibit the delivery of an ideal consultation with a patient with heart disease. The context was a general practice based, nurse run clinic for the secondary prevention of heart disease. One of the programmes was customized for this purpose; the other was a standard general practice programme. Consultations were video-recorded, and then assessed by an expert panel using the new assessment tool. Both software programmes were oriented towards the implementation of the evidence, rather than facilitating patient-centred practice. The rating scale showed, not surprisingly, significantly greater support from the customized software in the consultation in five out of eight areas. However, the scale's reliability measured by Cronbach's Alpha, was sub-optimal. With further refinement, this rating scale may become a useful tool that will inform software developers of the effectiveness of their programmes in the consultation, and suggest where they need development.
开发了一种评分量表，以评估计算机软件对提供高质量咨询的贡献，目的是为下一代系统的开发提供信息。使用该量表比较了两个软件程序，以测试它们促进或阻碍与心脏病患者进行理想咨询的能力。背景是一个基于全科医疗、由护士管理的心脏病二级预防诊所。其中一个程序是为此目的定制的；另一个是标准的全科医疗程序。咨询过程进行了视频记录，然后由一个专家小组使用新的评估工具进行评估。两个软件程序都侧重于证据的实施，而不是促进以患者为中心的实践。不出所料，评分量表显示，在八个领域中的五个领域，定制软件在咨询中得到了明显更多的支持。然而，通过克朗巴哈系数测量的量表可靠性并不理想。经过进一步完善，这种评分量表可能会成为一个有用的工具，它将告知软件开发人员其程序在咨询中的有效性，并指出他们需要改进的地方。
