American Board of Internal Medicine, 510 Walnut Street, Suite 1700, Philadelphia, PA 19106, USA.
Acad Med. 2009 Oct;84(10 Suppl):S109-12. doi: 10.1097/ACM.0b013e3181b37ac7.
Effective care coordination requires good physician-to-physician communication. The authors evaluated a new tool called the Communication with Referring Physicians Practice Improvement Module (CRP-PIM), which assesses and encourages improved communication among physician consultants and referring physicians.
Eight-hundred three consultants (internists and subspecialists) completed a practice system survey and were rated by 12,212 referring physicians on 13 communication processes using a six-point scale. Consultants received an interactive performance report and selected targets for improvement. Data were analyzed using descriptive statistics, correlations, t tests, and factor analysis.
Mean overall rating was high, at 5.53 (SD 0.23, range 2.46-5.95); consultants still identified areas for improvement. The generalizability coefficient for overall ratings was 0.78. Factor analysis supported two categories of ratings associated with consultants' gender, subspecialty, residency performance ratings, and specific practice system features.
The CRP-PIM provides a psychometrically viable measure and encourages consultants to improve communication with referring physicians.
有效的护理协调需要医生之间的良好沟通。作者评估了一种名为“与转诊医生沟通实践改进模块（CRP-PIM）”的新工具，该工具评估并鼓励医生顾问和转诊医生之间的沟通改进。
803 名顾问（内科医生和专科医生）完成了一项实践系统调查，并由 12212 名转诊医生对 13 个沟通流程进行了六分制评分。顾问收到了一份互动绩效报告，并选择了改进的目标。数据分析采用描述性统计、相关性、t 检验和因子分析。
总体评分平均值较高，为 5.53（SD 0.23，范围 2.46-5.95）；顾问们仍确定了需要改进的领域。总体评分的一般化系数为 0.78。因子分析支持与顾问的性别、专科、住院医师绩效评分以及特定实践系统特征相关的两类评分。
CRP-PIM 提供了一种具有心理测量学可行性的衡量标准，并鼓励顾问改善与转诊医生的沟通。
