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实际医疗实践中的未事先通知的标准化患者:一项系统文献综述。

Unannounced standardised patients in real practice: a systematic literature review.

作者信息

Rethans Jan-Joost, Gorter Simone, Bokken Lonneke, Morrison Linda

机构信息

Skillslab, Faculty of Medicine, University of Maastricht, The Netherlands.

出版信息

Med Educ. 2007 Jun;41(6):537-49. doi: 10.1111/j.1365-2929.2006.02689.x.

Abstract

BACKGROUND

No attempt has been made to give a systematic overview of the innovative use of unannounced or incognito standardised patients.

OBJECTIVE

To provide a systematic overview of all published studies with incognito standardised patients assessing doctors in actual practice situations using sound reliable and valid standardised patient methodology.

METHODS

Systematic literature search in Medline, Eric and Psyclit with piloted search terms, followed by retrieving additional papers from reference lists. All papers were scored with a predefined protocol-sheet using predefined inclusion and exclusion criteria.

RESULTS

Forty papers referring to 21 projects with incognito standardised patients were found and described in detail. The majority of studies were conducted in primary care and were descriptive.

DISCUSSION

There is a need for research on the additional value of the incognito standardised patient methodology and for a consensus on how to report on accuracy and consistency of standardised patients.

摘要

背景

尚未有人尝试对未宣布身份或匿名标准化病人的创新应用进行系统综述。

目的

对所有已发表的关于匿名标准化病人的研究进行系统综述,这些研究使用可靠有效的标准化病人方法在实际临床情境中评估医生。

方法

使用预先试验的检索词在Medline、Eric和Psyclit数据库中进行系统文献检索,随后从参考文献列表中获取其他论文。所有论文均使用预定义的方案表,根据预定义的纳入和排除标准进行评分。

结果

共找到40篇提及21个使用匿名标准化病人项目的论文,并进行了详细描述。大多数研究在初级保健领域开展,且为描述性研究。

讨论

需要对匿名标准化病人方法的附加价值进行研究,并就如何报告标准化病人的准确性和一致性达成共识。

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