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医学交流教育中性别评估标准的专家共识。

Expert consensus on gender criteria for assessment in medical communication education.

机构信息

Radboud University Medical Centre, Department Primary and Community Care, Nijmegen, The Netherlands.

出版信息

Patient Educ Couns. 2012 Aug;88(2):189-95. doi: 10.1016/j.pec.2012.01.013. Epub 2012 Feb 23.

Abstract

OBJECTIVE

The aim of this study is to develop gender criteria that can be included in communication skills assessment in medical education.

METHODS

A three-round Delphi study was conducted. The invited 59 participants were experts in the field of gender medicine education (n = 28) and doctor-patient communication (n = 31). Each Delphi round comprised a questionnaire, an analysis, and a feedback report. In the first round, gender experts explored gender themes in doctor-patient communication from which initial gender criteria were defined. The second and third rounds were used to validate the importance and feasibility of gender criteria. Consensus was defined as a 75% panel agreement and a mean of 4 or higher on a 5-point Likert scale.

RESULTS

Four gender criteria achieved consensus after the third round. The importance of including the gender criteria in communication skills assessment was rated consistently higher than its feasibility. Gender criteria relating to the patients' perspective, to gathering information and to gender and power were considered the most important.

CONCLUSION

Using a Delphi study, we have developed gender criteria for inclusion in communication skills assessment to promote good communication between doctors and patients.

PRACTICE IMPLICATIONS

Gender influences medical communication. Incorporating gender in communication skills assessment may be useful to improve the teaching and learning of communication skills.

摘要

目的

本研究旨在制定可纳入医学教育中医患沟通技能评估的性别标准。

方法

采用三轮德尔菲研究。邀请了 59 名性别医学教育(n=28)和医患沟通(n=31)领域的专家参与。每一轮德尔菲研究都包括一份问卷、一份分析报告和一份反馈报告。在第一轮中,性别专家从医患沟通中的性别主题中探讨了初始性别标准。第二轮和第三轮用于验证性别标准的重要性和可行性。共识定义为 75%的小组同意和 5 分制中的 4 分或以上的平均值。

结果

经过三轮后,四项性别标准达成共识。在沟通技能评估中纳入性别标准的重要性始终高于其可行性。与患者视角、信息收集以及性别和权力相关的性别标准被认为是最重要的。

结论

通过德尔菲研究,我们制定了纳入沟通技能评估的性别标准,以促进医生和患者之间的良好沟通。

实践意义

性别会影响医学沟通。在沟通技能评估中纳入性别因素可能有助于提高沟通技能的教学效果。

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