Sustersic Mélanie, Gauchet Aurélie, Kernou Anaïs, Gibert Charlotte, Foote Alison, Vermorel Céline, Bosson Jean-Luc
Laboratory of « Techniques de l'Ingénierie Médicale et de la Complexité, Informatique, Mathématiques et Applications », University Grenoble Alps, Grenoble, France.
Emergency Department, Groupe Hospitalier Mutualiste, Grenoble, France.
PLoS One. 2018 Feb 21;13(2):e0192306. doi: 10.1371/journal.pone.0192306. eCollection 2018.
There is no validated generic tool to measure Doctor-Patient-Communication (DPC) in a context of acute conditions.
To create and validate such a scale in a real population.
We performed a systematic review of validated DPC scales available in English. From these, using a theoretical model based on a multidisciplinary approach, we selected pertinent items that met the inclusion criteria and included them in a simple questionnaire. This tool based on a synthesis of the literature was then validated in a prospective study in two hospital emergency departments.
We found 22 pertinent questionnaires and scoring systems. From these, we extracted items and built a scale based on 15 questions with graded responses (Likert from 1 to 4). The mean time for questionnaire completion was 3 minutes. We included 189 adults and adolescents in the study and analyzed complete responses to the questionnaire by 149 patients, gathered over the phone one week after their consultation. The scale had high internal consistency (Cronbach's alpha = 0.89) and good external validity. Two questions were removed due to redundancy giving a scale based on 13 questions.
We have created an easy-to-use and validated generic questionnaire to assess DPC in a context of acute conditions, usable both in clinical research and in routine practice.
在急性病情况下，尚无经过验证的通用工具来衡量医患沟通（DPC）。
在实际人群中创建并验证这样一个量表。
我们对现有的经过验证的英文DPC量表进行了系统综述。基于多学科方法的理论模型，我们从这些量表中选择符合纳入标准的相关条目，并将其纳入一个简单的问卷中。然后，这个基于文献综合的工具在前瞻性研究中于两家医院急诊科进行了验证。
我们发现了22个相关的问卷和评分系统。从中提取条目，构建了一个基于15个问题且回答有分级（李克特量表，1至4级）的量表。完成问卷的平均时间为3分钟。我们纳入了189名成年人和青少年参与研究，并对149名患者在咨询一周后通过电话收集的问卷完整回答进行了分析。该量表具有较高的内部一致性（克朗巴哈系数α = 0.89）和良好的外部效度。由于冗余，删除了两个问题，形成了一个基于13个问题的量表。
我们创建了一个易于使用且经过验证的通用问卷，用于在急性病情况下评估医患沟通，可用于临床研究和日常实践。
