10項目のCARE対策を2項目のCARE対策に縮小する際の課題:スコットランドにおける横断調査における患者の好みと心理評価の比較
Lauren Ng1, Kieran D Sweeney1, Stewart W Mercer2
1Usher Institute, University of Edinburgh, Scotland, United Kingdom.
BJGP open
|September 3, 2025
まとめ
心理学的分析によって特定された2項目のConsultation and Relational Empathy (CARE) Measureは,医師の共感を評価する患者の好みと一致しなかった. CARE Measureを2つの項目に減らすのは,患者の好みによって異なるため,不適切かもしれません.
科学分野:
- 医学教育
- 患者 の 経験
- サイコメトリクス
背景:
- 10項目のConsultation and Relational Empathy (CARE) Measureは,医師の共感に対する患者の認識を評価するものです.
- 前回の研究では,患者の好みを考慮せずに,心理学的評価に基づいた2項目のバージョンを提案しました.
研究 の 目的:
- 英国のデータに心理測定法を適用し,最適な2項目のCARE対策を特定する.
- 最も重要な共感の項目の患者さんの好みを比較する.
主な方法:
- スコットランド の 成人 者 6,291 人 を 対象 に し た 横断 的 郵便 調査 が 行なわ れ まし た.
- サイコメトリック評価は,すべての可能なペアと元の10項目のCARE Measureを相関させることで,最適な2項目の組み合わせを特定しました.
- 患者たちは2つの最も重要な項目を選択し,記述分析は好みと同意を調査した.
主要な成果:
- 心理学的評価では,項目6 ("思いやりと思いやりを示すこと") と項目8 ("物事を明確に説明すること") が,この2つの項目の最適の組み合わせであると特定されました.
- 患者の好みは項目3 ("本当に聞く") と項目8に好意を示しており,好みは人口統計と相談の複雑さによって異なります.
- 心理学的最適の組み合わせ (項目6と8) は,最も好ましい組み合わせ (項目3と8) と異なっていた.
結論:
- 心理学的最適の2項目のCARE Measureの組み合わせは患者の好みに合わなかった.
- 患者の好みの大きな違いと低い合意は,CARE Measureを2つの項目に減らすのが望ましくないことを示唆しています.
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