Sustersic Mélanie, Meneau Aurélia, Drémont Roger, Paris Adeline, Laborde Laurent, Bosson Jean-Luc
TICE de l'UJF Grenoble.
Rev Prat. 2008 Dec 15;58(19 Suppl):17-24.
Health information is patients' wish and right. For general practitioners, it is a duty, a legal obligation and a pre-requisite in any preventive approach. Written information must complete oral information since it improves health care quality. However, in general practice, there are no patient documents which are scientifically valid, understandable and efficient in terms of communication.
To develop a method for creating patient information sheets and to experiment its feasibility through the development of 125 sheets focused on the most common clinical conditions in general practice.
Research and literature review pour the development of specifications, and creation of 125 sheets following these specifications.
The specifications developed consist of the 10 following steps: selection of the topic and the objectives, literature review, selection of the sections, drafting, validation of the scientific contents, assessment among patients, validation of the layout, selection of the media, delivery to patients and update. Following these specifications, we developed 125 information sheets. Each of these was reviewed by several physicians and assessed with R. Flesh readability test (the established acceptable threshold value was 40). The 30 sheets associated with the lowest scores were selected and reviewed to improve their overall readability.
Even though some difficulties cannot be avoided when developing patient information sheets, each physician or physician association can create its own documents following the proposed specifications and thus deliver a customized message.
健康信息是患者的愿望和权利。对于全科医生而言,提供健康信息是一项职责、法律义务,也是任何预防措施的前提条件。书面信息必须补充口头信息,因为这有助于提高医疗质量。然而,在全科医疗中,目前尚无科学有效、易于理解且沟通效率高的患者文档。
开发一种创建患者信息表的方法,并通过开发125份针对全科医疗中最常见临床病症的信息表来试验其可行性。
通过研究和文献综述来制定规范,并按照这些规范创建125份信息表。
所制定的规范包括以下10个步骤:主题和目标的选择、文献综述、章节选择、起草、科学内容验证、患者评估、版面设计验证、媒介选择、向患者提供以及更新。按照这些规范,我们开发了125份信息表。每份信息表都经过了多位医生的审阅,并采用弗莱什易读性测试(既定可接受阈值为40)进行评估。选取得分最低的30份信息表进行审阅,以提高其整体易读性。
尽管在开发患者信息表时无法避免一些困难,但每位医生或医生协会都可以按照所提议的规范创建自己的文档,从而传递定制化信息。