Unité de Recherche en Psychosomatique et en Psycho-oncologie, Université Libre de Bruxelles, Brussels, Belgium.
Unité de Recherche en Psychosomatique et en Psycho-oncologie, Université Libre de Bruxelles, Brussels, Belgium; Institut Jules Bordet, Brussels, Belgium.
Patient Educ Couns. 2018 Jan;101(1):52-58. doi: 10.1016/j.pec.2017.07.004. Epub 2017 Jul 9.
Our first objective was to develop the Multi-Dimensional analysis of Patient Outcome Predictions (MD.POP), an interaction analysis system that assesses how HCPs discuss precisely and exclusively patient outcomes during medical encounters. The second objective was to study its interrater reliability.
The MD.POP was developed by consensus meetings. Forty simulated medical encounters between physicians and an actress portraying a patient were analysed. Interrater reliability analysis was conducted on 20 of those simulated encounters.
The MD.POP includes six dimensions: object, framing, value, domain, probability and form of POP. The coding method includes four steps: 1) transcription of the encounter, 2) POP identification, 3) POP dimension coding and 4) POP scoring. Descriptive analyses show that the MD.POP is able to describe verbal expressions addressing the patient's outcomes. Statistical analyses show excellent interrater reliability (Cohen's Kappa ranging from 0.92 to 0.94).
The MD.POP is a reliable interaction analysis system that assesses how HCPs discuss patient medical, psychological or social outcomes during medical encounters.
The MD.POP provides a measure for researchers to study how HCPs communicate with patients about potential outcomes. Results of such studies will allow to provide recommendations to improve HCP's communication about patients' outcomes.
我们的首要目标是开发多维患者结局预测分析（MD.POP），这是一个交互分析系统，用于评估医疗保健提供者在医疗接触期间如何准确和专门地讨论患者结局。第二个目标是研究其评分者间信度。
MD.POP 通过共识会议开发。分析了 40 名医生和一名女演员饰演的患者之间的模拟医疗接触。对其中 20 次模拟接触进行了评分者间信度分析。
MD.POP 包括六个维度：对象、框架、价值、领域、概率和结局形式。编码方法包括四个步骤：1）接触转录，2）结局识别，3）结局维度编码，4）结局评分。描述性分析表明，MD.POP 能够描述涉及患者结局的口头表达。统计分析显示评分者间信度极好（Cohen's Kappa 范围为 0.92 至 0.94）。
MD.POP 是一种可靠的交互分析系统，用于评估医疗保健提供者在医疗接触期间如何讨论患者的医疗、心理或社会结局。
MD.POP 为研究人员提供了一种衡量医疗保健提供者与患者讨论潜在结局的方法。此类研究的结果将有助于为改善医疗保健提供者对患者结局的沟通提供建议。
