O'Keefe Maree, Baghurst Peter, Sawyer Michael, Roberton Don
University of Adelaide Department of Paediatrics, Women's and Children's Hospital Evaluation Unit, Women's and Children's Hospital, North Adelaide, South Australia.
Fam Pract. 2004 Dec;21(6):684-8. doi: 10.1093/fampra/cmh617. Epub 2004 Nov 4.
Doctors develop the skills needed to interview parents and children in paediatric settings by practice and by receiving feedback during their medical training. Interviewed parents are ideally placed to provide evaluations of these skills. If parents, as consumers of health care services, are to be consulted, it is important to determine whether factors other than interview skills affect their evaluations.
Our aim was to examine the relationship between maternal satisfaction ratings of student doctor interviews, and maternal and child characteristics.
Sixty mothers of children attending the paediatric medical out-patient clinic at the Women's and Children's Hospital, South Australia were allocated randomly to rate one of four video-taped final year student doctor interviews (15 mothers per interview). The level of skills displayed by the student doctor differed in each interview. Maternal satisfaction was measured using the Medical Interview Satisfaction Scale (MISS) and the Interpersonal Skills Rating Scale (IPS), and interview ratings were compared for a number of maternal and child characteristics.
No significant associations were observed between maternal satisfaction ratings and any maternal or child characteristics other than lower satisfaction associated with previous experience of a real student doctor interview (P <0.01). The interview seen by mothers predicted 53% (MISS) and 65% (IPS) of the variance in maternal satisfaction ratings. After controlling for the interview type, the maternal and child characteristics studied predicted 17% additional variance in MISS scores and 7% in IPS scores.
The quality of the interview skills demonstrated was the principle determinant of maternal satisfaction ratings.
医生通过实践以及在医学培训期间接受反馈来培养在儿科环境中与家长和儿童面谈所需的技能。接受面谈的家长最适合对这些技能进行评估。如果要征求作为医疗保健服务消费者的家长的意见，确定除面谈技能之外的其他因素是否会影响他们的评估就很重要。
我们的目的是研究母亲对实习医生面谈的满意度评分与母亲及儿童特征之间的关系。
随机分配60位带着孩子在南澳大利亚妇女儿童医院儿科门诊就诊的母亲，让她们对四段实习医生最后一年面谈的录像之一进行评分（每次面谈15位母亲）。每次面谈中实习医生展示的技能水平有所不同。使用医疗面谈满意度量表（MISS）和人际技能评分量表（IPS）来衡量母亲的满意度，并针对一些母亲和儿童特征比较面谈评分。
除了与之前有过真实实习医生面谈经历相关的较低满意度（P<0.01）外，未观察到母亲满意度评分与任何母亲或儿童特征之间存在显著关联。母亲观看的面谈预测了母亲满意度评分中53%（MISS）和65%（IPS）的方差。在控制面谈类型后，所研究的母亲和儿童特征预测了MISS分数中另外17%的方差以及IPS分数中7%的方差。
所展示的面谈技能质量是母亲满意度评分的主要决定因素。
