对观察编码系统的系统审查,以评估患者与医疗保健专业人员的互动
Marij A Hillen1, Kerri-Anne R Mitchell2, Barbara C Schouten3
1Department of Medical Psychology, Amsterdam Public Health, Amsterdam University Medical Centers, the Netherlands.
Patient education and counseling
|March 4, 2025
概括
研究人员需要更好的工具来研究患者与医疗服务提供者的互动. 本综述概述了现有的编码系统,强调了需要改进这些患者交互工具的报告和验证.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 沟通研究 沟通研究
- 心理测量 心理测量 心理测量
背景情况:
- 系统地编码患者与医疗保健专业人员的互动对于独立观察至关重要.
- 目前缺乏对可用的编码系统的全面,最新的概述.
- 现有的系统在范围,开发严格性和验证方面存在很大差异.
研究的目的:
- 为患者与医疗保健专业人员的互动提供系统编码系统的全面概述.
- 描述这些编码系统的一般特征和发展.
- 评估现有编码系统的验证和调整.
主要方法:
- 在五个主要数据库 (Cochrane,Embase,PubMed/Medline,CINAHL,PsychINFO) 进行系统的文献搜索.
- 关键词包括患者,医疗保健专业人员,互动,编码工具和开发/验证的变化.
- 包括先前审查,数据库和引用跟踪系统,并提取特征和心理测量属性.
主要成果:
- 包含了124篇文章,描述了98个不同的编码系统.
- 系统在主题,临床背景,开发严格性,复杂性和心理测试方面表现出显著的变化.
- 评价者之间的可靠性通常被报告,但有效性和其他可靠性类型的评估较少.
结论:
- 有广泛的编码系统,但系统报告和心理测量验证需要改进.
- 研究人员应该优先测试最相关和广泛适用的编码系统.
- 在可行的情况下,建议适应或利用现有系统,而不是开发新的系统.
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