Assis-Hassid Shiri, Heart Tsipi, Reychav Iris, Pliskin Joseph S, Reis Shmuel
Department of Industrial Engineering and Management, Ben-Gurion University of the Negev, Israel.
Patient Educ Couns. 2013 Dec;93(3):363-6. doi: 10.1016/j.pec.2013.03.017. Epub 2013 Apr 25.
This study aims to highlight the differences in physicians' scores on two communication assessment tools: the SEGUE and an EMR-specific communication skills checklist. The first tool ignores the presence of the EMR in the exam room and the second, though not formally validated, rather focuses on it.
We use the Wilcoxon Signed Ranks Test to compare physicians' scores on each of the tools during 16 simulated medical encounters that were rated by two different raters.
Results show a significant difference between physicians' scores on each tool (z=-3.519, p<0.05 for the first rater, and z=-3.521, p<0.05 for the second rater), while scores on the EMR-specific communication skills checklist were significantly and consistently lower.
These results imply that current communication assessment tools that do not incorporate items that are relevant for communication tasks during EMR use may produce inaccurate results.
We therefore suggest that a new instrument, possibly an extension of existing ones, should be developed and empirically validated.
本研究旨在突出医生在两种沟通评估工具上得分的差异，这两种工具分别是SEGUE和一份电子病历（EMR）特定的沟通技能清单。第一种工具在检查室评估中忽略了电子病历的存在，而第二种工具虽未经过正式验证，但侧重于电子病历。
我们使用Wilcoxon符号秩和检验，在16次模拟医疗问诊中比较医生在每种工具上的得分，这些问诊由两名不同的评分者进行评分。
结果显示医生在每种工具上的得分存在显著差异（第一位评分者：z = -3.519，p < 0.05；第二位评分者：z = -3.521，p < 0.05），而电子病历特定沟通技能清单上的得分显著且始终较低。
这些结果表明，当前未纳入与电子病历使用期间沟通任务相关项目的沟通评估工具可能会产生不准确的结果。
因此，我们建议开发一种新工具，可能是对现有工具的扩展，并进行实证验证。
