Balanescu Andra Rodica, Bojinca Violeta Claudia, Schweitzer Ana-Maria, Joca Bogdan, Mardale Denise Ani, Badea Denisa, Bojinca Mihai
University of Medicine and Pharmacy "Carol Davila", 37 Dionisie Lupu street, sector 2, 020021, Bucharest, Romania.
Department of Internal Medicine and Rheumatology, "Sf. Maria" Hospital, 37-39 Ion Mihalache Bl. Sector 1, 011172, Bucharest, Romania.
BMC Health Serv Res. 2021 Feb 27;21(1):184. doi: 10.1186/s12913-021-06186-w.
The communication between health providers and patients influences the quality of medical care. The Communication Skills Assessment (CAT) is a reliable, validated tool, which was developed to assess interpersonal communication skills between physicians and patients. The purpose of this study was to obtain a Romanian version of the CAT (CAT_Ro), using a controlled and systematic process to translate and cross-culturally adapt the original questionnaire, since there are no validated instruments to assess healthcare professionals' communication capability in Romania.
The study was conducted in two Departments of Internal Medicine and Rheumatology from Bucharest, Romania, using a rigorous scientific methodology for the translation process, according to literature recommendations, implicating conceptual evaluation, semantics, and cultural adaptation, which involved several steps. The updated version was pre-tested in a pilot study, which included 89 outpatients.
The results showed a narrow range of variability in item interpretation, without differences in patients' responses according to variables such as age, gender, education, disease type, number of previous visits with the same doctor.
CAT-Ro is the result of a comprehensive process study. It represents the first translation and cultural adaptation in Romanian of an instrument able to assess the health providers' communication skills, which was validated in a pilot study and is to be used in more extensive studies with patients from several specialties.
医疗服务提供者与患者之间的沟通会影响医疗质量。沟通技能评估（CAT）是一种可靠且经过验证的工具，旨在评估医生与患者之间的人际沟通技能。本研究的目的是获得CAT的罗马尼亚语版本（CAT_Ro），采用可控且系统的流程对原始问卷进行翻译和跨文化调适，因为罗马尼亚尚无经过验证的工具来评估医疗保健专业人员的沟通能力。
该研究在罗马尼亚布加勒斯特的两个内科和风湿病科进行，根据文献建议，在翻译过程中采用了严谨的科学方法，涉及概念评估、语义和文化调适，包括几个步骤。更新后的版本在一项试点研究中进行了预测试，该试点研究纳入了89名门诊患者。
结果显示，在项目解释方面变异性范围较窄，根据年龄、性别、教育程度、疾病类型、之前看同一位医生的次数等变量，患者的回答没有差异。
CAT-Ro是一项全面过程研究的成果。它代表了首个将能够评估医疗服务提供者沟通技能的工具翻译成罗马尼亚语并进行文化调适的版本，该版本已在一项试点研究中得到验证，并将用于针对多个专科患者的更广泛研究。
