Mazor Kathleen M, King Ann M, Hoppe Ruth B, Kochersberger Annie O, Yan Jie, Reim Jesse D
Meyers Primary Care Institute, University of Massachusetts Medical School, Reliant Medical Group and Fallon Health Plan, Worcester, MA, United States.
National Board of Medical Examiners, Philadelphia, PA, United States.
JMIR Med Educ. 2019 Feb 14;5(1):e10400. doi: 10.2196/10400.
Good clinician-patient communication is essential to provide quality health care and is key to patient-centered care. However, individuals and organizations seeking to improve in this area face significant challenges. A major barrier is the absence of an efficient system for assessing clinicians' communication skills and providing meaningful, individual-level feedback. The purpose of this paper is to describe the design and creation of the Video-Based Communication Assessment (VCA), an innovative, flexible system for assessing and ultimately enhancing clinicians' communication skills. We began by developing the VCA concept. Specifically, we determined that it should be convenient and efficient, accessible via computer, tablet, or smartphone; be case based, using video patient vignettes to which users respond as if speaking to the patient in the vignette; be flexible, allowing content to be tailored to the purpose of the assessment; allow incorporation of the patient's voice by crowdsourcing ratings from analog patients; provide robust feedback including ratings, links to highly rated responses as examples, and learning points; and ultimately, have strong psychometric properties. We collected feedback on the concept and then proceeded to create the system. We identified several important research questions, which will be answered in subsequent studies. The VCA is a flexible, innovative system for assessing clinician-patient communication. It enables efficient sampling of clinicians' communication skills, supports crowdsourced ratings of these spoken samples using analog patients, and offers multifaceted feedback reports.
良好的医患沟通对于提供高质量的医疗保健至关重要，也是以患者为中心的医疗服务的关键。然而，寻求在这一领域取得进步的个人和组织面临着重大挑战。一个主要障碍是缺乏一个有效的系统来评估临床医生的沟通技巧并提供有意义的、针对个人层面的反馈。本文的目的是描述基于视频的沟通评估（VCA）的设计与创建，这是一个创新、灵活的系统，用于评估并最终提高临床医生的沟通技巧。我们首先开发了VCA的概念。具体而言，我们确定它应该方便高效，可通过计算机、平板电脑或智能手机访问；基于案例，使用视频患者案例，用户像与案例中的患者交谈一样做出回应；灵活，允许根据评估目的定制内容；通过众包模拟患者的评分纳入患者的声音；提供有力的反馈，包括评分、作为示例的高评分回复链接以及学习要点；最终，具有强大的心理测量特性。我们收集了对该概念的反馈，然后着手创建该系统。我们确定了几个重要的研究问题，将在后续研究中解答。VCA是一个灵活、创新的系统，用于评估医患沟通。它能够高效地抽样临床医生的沟通技巧，支持使用模拟患者对这些口头样本进行众包评分，并提供多方面的反馈报告。
