Dubert Thierry, Girault Cedric, Kilink Alexandre, Rozenblat Marc, Lebellec Yves, Vataire Anne-Lise, Vilasco Myriam, Katz Gregory
Ramsay Générale de Santé, Clinique Jouvenet, Paris, France.
Ramsay Générale de Santé, Hôpital Privé Paul d'Egine, Champigny, France.
J Mark Access Health Policy. 2017 Aug 11;5(1):1345586. doi: 10.1080/20016689.2017.1345586. eCollection 2017.
: To date, no specific instruments exist to measure the quality of the patient-surgeon relationship despite its potential to influence clinical and economic outcomes in patients undergoing surgery for musculoskeletal disorders (MSDs). : The objective was to develop and validate an instrument to assess the quality of the patient-surgeon relationship, taking into account the return to work after functional restoration surgery. : The instrument development was based on literature review, cognitive interviews and expert examinations. The instrument's psychometric properties were explored in a sample of 50 French patients on sick leave with musculoskeletal disorders or hand injuries. Face validity, internal consistency and test-retest reliability were evaluated. The dimensionality of the instrument was studied using an exploratory principal component analysis. : The 11-item instrument showed good psychometric properties. The cognitive interviews allowed enhancing the validity of the instrument content by capturing patients' point of view. The exploratory principal component analysis demonstrated the uni-dimensionality of the instrument with the first factor accounting for 83% of the total explained variance. :This study has developed the first instrument capable of the specific assessment of the impact of the surgeon-patient relationship on recovery, in patients with hand traumas and MSDs.
迄今为止，尽管患者与外科医生之间的关系有可能影响接受肌肉骨骼疾病（MSD）手术患者的临床和经济结局，但尚无专门用于衡量这种关系质量的工具。本研究的目的是开发并验证一种工具，以评估患者与外科医生之间的关系质量，同时考虑功能恢复手术后的重返工作情况。该工具的开发基于文献综述、认知访谈和专家审查。在50名因肌肉骨骼疾病或手部损伤而休病假的法国患者样本中探索了该工具的心理测量特性。评估了表面效度、内部一致性和重测信度。使用探索性主成分分析研究了该工具的维度。这个11项的工具显示出良好的心理测量特性。认知访谈通过捕捉患者的观点提高了工具内容的效度。探索性主成分分析表明该工具具有单维度性，第一个因素占总解释方差的83%。本研究开发了第一种能够专门评估外科医生与患者关系对手部创伤和肌肉骨骼疾病患者恢复影响的工具。
