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远程医疗礼仪能力检查表的开发与验证:一项德尔菲研究。

Development and validation of the Telehealth Etiquette Competency Checklist: A Delphi study.

作者信息

Pittmann Rachel, Danaher-Garcia Nicole, Adair White Bobbie Ann, Thompson Anne

机构信息

Center for Interprofessional Education & Practice, MGH Institute of Health Professions, Boston, MA, USA.

Healthcare Data Analytics, Health Professions Education, MGH Institute of Health Professions, Boston, MA, USA.

出版信息

J Telemed Telecare. 2024 Sep 23:1357633X241279494. doi: 10.1177/1357633X241279494.

DOI:10.1177/1357633X241279494
PMID:39311041
Abstract

BACKGROUND

Providing telehealth care requires unique professionalism skills (i.e. telehealth etiquette) to ensure patients have a positive experience. Given the effect of patient-provider relationships on healthcare outcomes and the limited evidence for healthcare professionals to learn and practice these skills, developing a telehealth etiquette competency tool is necessary.

METHODS

This multiround Delphi study utilized subject matter experts' opinions to validate a telehealth etiquette competency checklist, using Lawshe's content validity measurements. Panelists were diverse in professional backgrounds, years of experience, telehealth teaching, clinical experience, and involvement in telehealth professional society and governmental policy making.

RESULTS

Consensus and validation were achieved on the checklist by the 17 panelists in Round 1 for 19 of 20 competencies. Following revisions based on their expert opinions, consensus was achieved by all 16 panelists in Round 2 for 20 competencies.

DISCUSSION

The Telehealth Etiquette Competency Checklist (TECC) provides a validated telehealth etiquette tool that can be used by health professionals to improve their telehealth videoconsultations, thus enhancing patient satisfaction.

摘要

背景

提供远程医疗服务需要独特的专业技能(即远程医疗礼仪),以确保患者有积极的体验。鉴于医患关系对医疗结果的影响以及医疗专业人员学习和实践这些技能的证据有限,开发一种远程医疗礼仪能力工具是必要的。

方法

这项多轮德尔菲研究利用主题专家的意见,使用劳希的内容效度测量方法来验证远程医疗礼仪能力清单。小组成员的专业背景、经验年限、远程医疗教学、临床经验以及在远程医疗专业协会和政府政策制定方面的参与情况各不相同。

结果

17名小组成员在第一轮对20项能力中的19项达成了清单的共识和验证。根据他们的专家意见进行修订后,所有16名小组成员在第二轮对20项能力达成了共识。

讨论

远程医疗礼仪能力清单(TECC)提供了一种经过验证的远程医疗礼仪工具,卫生专业人员可使用该工具来改善他们的远程医疗视频会诊,从而提高患者满意度。

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引用本文的文献

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Guidelines for Rapport-Building in Telehealth Videoconferencing: Interprofessional e-Delphi Study.远程医疗视频会议中建立融洽关系的指南:跨专业电子德尔菲研究。
JMIR Med Educ. 2025 Aug 7;11:e76260. doi: 10.2196/76260.
2
Telehealth equity and access communication skills pilot simulation for practicing clinicians.针对执业临床医生的远程医疗公平性与获取沟通技能试点模拟
PLoS One. 2025 Jan 6;20(1):e0302804. doi: 10.1371/journal.pone.0302804. eCollection 2025.