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A method for evaluating health care providers' decision making: the Provider Decision Process Assessment Instrument

J G Dolan1

  • 1Primary Care Institute of Highland Hospital and the Department of Medicine, University of Rochester School of Medicine and Dentistry, New York 14620, USA. jdolan@highland.rochester.edu

Medical Decision Making : an International Journal of the Society for Medical Decision Making
|January 23, 1999
PubMed
Summary

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The Provider Decision Process Assessment Instrument reliably and validly measures healthcare provider comfort with medical decisions. This 12-item tool is suitable for busy clinical settings.

Area of Science:

  • Health Services Research
  • Medical Education
  • Clinical Psychology

Background:

  • Effective clinical decision-making is crucial for quality healthcare.
  • Assessing provider comfort with medical decisions aids in evaluating decision support tools.
  • Existing methods for evaluating clinical decision-making may be time-consuming.

Purpose of the Study:

  • To evaluate the measurement properties of the Provider Decision Process Assessment Instrument.
  • To determine the reliability and validity of this 12-item questionnaire.
  • To assess its suitability for use in clinical practice.

Main Methods:

  • The Provider Decision Process Assessment Instrument, a 12-item questionnaire, was administered to healthcare providers in two general internal medicine practices.

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  • Reliability was assessed using Cronbach's alpha.
  • Construct validity was examined through expected negative correlations.

    • Main Results:

    • The instrument demonstrated high reliability, with Cronbach's alpha of 0.90 (95% CI = 0.87 to 0.92).
    • High construct validity was confirmed, showing expected negative correlations between -0.53 and -0.67.
    • The questionnaire met item homogeneity criteria and was easily completed by clinicians.

    Conclusions:

    • The Provider Decision Process Assessment Instrument is a reliable and valid tool.
    • It is suitable for assessing healthcare provider comfort in medical decision-making.
    • The instrument can be effectively used in busy clinical settings for quality assurance and evaluation of decision aids.