Buijs R, Sluijs E M, Verhaak P F
Soc Sci Med. 1984;19(7):683-90. doi: 10.1016/0277-9536(84)90240-5.
In order to assess the doctor's verbal behaviour in the consultation, a classification instrument is needed that will enable us to summarize the doctor's interview style. Such an instrument, developed by Byrne and Long, is evaluated in this study. After presenting the procedure as it has been worked out by Byrne and Long, some points of criticism are formulated. On account of our criticism, some changes have been introduced into the instrument. To test the relevance and reliability of the instrument, 36 consultations have been classified according to the adjusted system. This procedure showed that it was possible to represent a consultation with the 45 categories the system consisted of (although only 15 categories occurred in more than half of the consultations). Those categories that occurred often enough, could be measured with sufficient reliability, with inter-observer reliability coefficients mostly above 0.70. An example shows that the procedure is extremely useful to indicate certain differences between doctors and types of consultations.
为了评估医生在会诊中的言语行为，需要一种分类工具，以便我们能够总结医生的问诊风格。本研究对伯恩和朗开发的这样一种工具进行了评估。在介绍了伯恩和朗制定的程序后，提出了一些批评意见。基于我们的批评，对该工具进行了一些修改。为了测试该工具的相关性和可靠性，根据调整后的系统对36次会诊进行了分类。这一程序表明，用该系统包含的45个类别来描述一次会诊是可行的（尽管只有15个类别出现在一半以上的会诊中）。那些出现频率足够高的类别，可以以足够的可靠性进行测量，观察者间的可靠性系数大多高于0.70。一个例子表明，该程序对于指出医生之间以及会诊类型之间的某些差异非常有用。
