Ilan Sara, Carmel Sara
Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Head Center for Multidisciplinary Research in Aging, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Health Expect. 2016 Aug;19(4):842-53. doi: 10.1111/hex.12381. Epub 2015 Jul 14.
In western societies, a shared decision-making model for doctor-patient relationships calling for open and collaborative communication is recommended. Research focuses mainly on the doctor's communication patterns, while research on patient communication patterns is rare. The purpose of this study was to develop a tool for evaluating patient's communication patterns - the Patient Communication Pattern Scale (PCPS).
Interviews based on structured questionnaires were conducted with 251 cancer patients. In addition to the 14-item PCPS, the questionnaire included questions regarding education, religiosity and desirability of control in general and over one's own health in particular, for validating the scale.
The PCPS was found to be a valid and reliable tool for evaluating patients' communication patterns. Confirmatory factor analysis supported the PCPS designed structure of five facets: (1) Information, (2) Clarification, (3) Initiation, (4) Preferences and (5) Emotions.
The PCPS is a reliable scale for evaluating patient communication patterns. The use of this scale can assist in promoting related research and in developing interventions for enhancing open and collaborative doctor-patient communication.
在西方社会,推荐采用一种要求开放与协作沟通的医患关系共同决策模式。研究主要聚焦于医生的沟通模式,而关于患者沟通模式的研究较少。本研究的目的是开发一种评估患者沟通模式的工具——患者沟通模式量表(PCPS)。
对251名癌症患者进行了基于结构化问卷的访谈。除了包含14个条目的PCPS外,问卷还包括有关教育程度、宗教信仰以及一般情况下尤其是对自身健康的控制欲等问题,以验证该量表。
发现PCPS是评估患者沟通模式的有效且可靠的工具。验证性因素分析支持了PCPS设计的五个维度结构:(1)信息,(2)澄清,(3)发起,(4)偏好,(5)情感。
PCPS是评估患者沟通模式的可靠量表。使用该量表有助于推动相关研究,并开发干预措施以加强开放与协作的医患沟通。