Ford Sarah, Hall Angela
The Ethox Centre, University of Oxford, Institute of Health Sciences, Oxford, UK.
Patient Educ Couns. 2004 Sep;54(3):275-82. doi: 10.1016/j.pec.2003.12.004.
The Medical Interaction Process System (MIPS) was originally developed in order to create a reliable observation tool for analysing doctor-patient encounters in the oncology setting. This paper reports a series of analyses carried out to establish whether the behaviour categories of the MIPS can discriminate between skilled and less skilled communicators. This involved the use of MIPS coded cancer consultations to compare the MIPS indices of 10 clinicians evaluated by an independent professional as skilled communicators with 10 who were considered less skilled. Eleven out of the 15 MIPS variables tested were able to distinguish the skilled from the less skilled group. Although limitations to the study are discussed, the results indicate that the MIPS has satisfactory discriminatory power and the results provide validity data that meet key objectives for developing the system. There is an ever-increasing need for reliable methods of assessing doctors' communication skills and evaluating medical interview teaching programmes.
医学互动过程系统（MIPS）最初是为创建一个可靠的观察工具而开发的，用于分析肿瘤学环境中的医患交流。本文报告了一系列分析，以确定MIPS的行为类别能否区分沟通能力强和沟通能力弱的人。这涉及使用MIPS编码的癌症会诊，比较由独立专业人员评估为沟通能力强的10名临床医生与被认为沟通能力较弱的10名临床医生的MIPS指标。在测试的15个MIPS变量中，有11个能够区分能力强和能力弱的两组。尽管讨论了该研究的局限性，但结果表明MIPS具有令人满意的区分能力，并且结果提供了符合开发该系统关键目标的有效性数据。对评估医生沟通技巧和评价医学问诊教学计划的可靠方法的需求日益增加。
