发展医生与患者沟通质量测量尺度
Jiayi Shao1, Minhui Wen1, Yuqing Zhang1
1School of Health Care Management, Anhui Medical University, Hefei, China.
Frontiers in public health
|August 27, 2025
概括
一个新的尺度有效地衡量了医生与病人之间的沟通质量, 这种工具为研究和实践提供了可靠和有效的见解.
科学领域:
- 医疗服务研究
- 医学社会学
- 心理测量
背景情况:
- 医疗纠纷越来越多,
- 有效的沟通对于增强患者的信任和满意度至关重要.
研究的目的:
- 开发和验证可靠和强大的医生与患者沟通质量 (DPCQ) 尺度.
- 为评估医疗保健机构的沟通动态提供量化工具.
主要方法:
- 调查问卷的项目是根据现有的国外尺度和患者的看法制定的.
- 使用结构方程建模 (SEM) 的探索因素分析 (EFA) 和确认因素分析 (CFA).
- 使用克伦巴赫的alpha,AVE,CR和MSV来评估可靠性和有效性.
主要成果:
- EFA确定了两个关键因素:交互式沟通和情感支持,健康教育和行为指导,解释了63.81%的差异.
- CFA证实可接受的模型匹配,具有强大的内部一致性 (Cronbach的α = 0.950) 和收和差异验证的证据.
- 最终的DPCQ尺度显示出高可靠性和有效性,适合研究应用.
结论:
- 开发的DPCQ尺度是衡量医生与患者沟通质量的心理测量仪器.
- 这种经过验证的尺度可以帮助研究和干预,旨在改善医生与患者的互动,减少医疗纠纷.
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