Shepherd Annabel, Lough Murray
NHS Education for Scotland, Glasgow, UK.
Educ Prim Care. 2010 May;21(3):149-64. doi: 10.1080/14739879.2010.11493901.
Although multi-source feedback (MSF) has been used in primary healthcare, the development of an MSF instrument specific to this setting in the UK has not been previously described. The aims of this study were to develop and evaluate an MSF instrument for GPs in Scotland taking part in appraisal.
The members of ten primary healthcare teams in the west of Scotland were asked to provide comments in answer to the question, 'What is a good GP?'. The data were reduced and coded by two researchers and questions were devised. Following content validity testing the MSF process was evaluated with volunteers using face-to-face interviews and a postal survey.
Thirty-seven statements covering the six domains of communication skills, professional values, clinical care, working with colleagues, personality issues and duties and responsibilities were accepted as relevant by ten primary healthcare teams using a standard of 80 percent agreement. The evaluation found the MSF process to be feasible and acceptable and participants provided some evidence of educational impact.
An MSF instrument for GPs has been developed based on the concept of 'the good GP' as described by the primary healthcare team. The evaluation of the resultant MSF process illustrates the potential of MSF, when delivered in the supportive environment of GP appraisal, to provide feedback which has the possibility of improving working relationships between GPs and their colleagues.
尽管多源反馈（MSF）已应用于基层医疗保健，但此前尚未有针对英国该环境下的多源反馈工具的开发报道。本研究的目的是为参与评估的苏格兰全科医生开发并评估一种多源反馈工具。
苏格兰西部十个基层医疗团队的成员被要求回答“优秀的全科医生应具备哪些特质？”这一问题并提供意见。两名研究人员对数据进行简化和编码，并设计问题。在进行内容效度测试后，通过面对面访谈和邮寄调查对志愿者进行多源反馈流程评估。
十个基层医疗团队以80%的一致标准认可了37条涵盖沟通技巧、职业价值观、临床护理、与同事协作、个人问题以及职责六个领域的陈述。评估发现多源反馈流程可行且可接受，参与者提供了一些教育影响的证据。
基于基层医疗团队所描述的“优秀全科医生”概念，已开发出一种针对全科医生的多源反馈工具。对由此产生的多源反馈流程的评估表明，在全科医生评估的支持性环境中进行多源反馈时，有可能提供反馈，进而改善全科医生与其同事之间的工作关系。
