지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.1
- 수록면
- 177 - 184 (8page)
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초록· 키워드
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Purpose: This research investigated the psychometric properties of the patient-physician interaction (PPI) domain in the clinical performance examination (CPX). This research aimed to understand the PPI domain in the CPX through a psychometric and relationship analysis between the domains.
Methods: Data were drawn from 1,302 examinees on a set of 6 common CPX cases and 1,066 on a ‘bad news delivery’ case.
All cases included 7 PPI items, among which we calculated internal consistency reliability. Correlations were made between PPI and the other domains. Analyses using the structural equation model (SEM) were conducted to assess the relationships between latent factors and controlled measurement errors. To calculate the disparity between colleges, we performed a multi-level analysis.
Also, we conducted t-tests to investigate the consistency of the PPI and information sharing (IS) scores in the 'bad news delivery'case.
Results: Correlation between the mean PPI score and the total CPX score was high (0.707). The correlations between PPI and other domains were; 0.904 for the patient's overall satisfaction, 0.41 for history taking, and 0.327 for patient education. In SEM,these correlations between latent variables increased. The proportion of level-2 (between-school component) variance in PPI was 4.1%. For 'bad news delivery', the group that checked 'yes' on the IS items had higher PPI scores (mostly p<0.01).
Conclusion: PPI is an influential domain of the CPX and is highly related with the patient's overall satisfaction, clinical courtesy,and history taking. Disparities between schools in PPI are relatively small, such that the PPI could be due to individual factors rather than the school.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Boon H / 1998 / Patient-physician communication assessment instruments: 1986 to 1996 in review / Patient Educ Couns 35 : 161 ~ 176
Chesser AM / 2004 / Factor analysis can be a useful standard setting tool in a high stakes OSCE assessment / Med Educ 38 : 825 ~ 831
Cohen DS / 1996 / Psychometric properties of a standardized-patient checklist and rating-scale form used to assess interpersonal and communication skills / Acad Med 71 (1) :
Colliver JA / 1999 / Relationship between clinical competence and interpersonal and communication skills in standardized patient assessment / Acad Med 74 : 271 ~ 274
Cuddy MM / 2006 / A multilevel analysis of the relationships between selected examinee characteristics and United States Medical Licensing Examination Step 2 clinical knowle
Chesser AM / 2004 / Factor analysis can be a useful standard setting tool in a high stakes OSCE assessment / Med Educ 38 : 825 ~ 831
Cohen DS / 1996 / Psychometric properties of a standardized-patient checklist and rating-scale form used to assess interpersonal and communication skills / Acad Med 71 (1) :
Colliver JA / 1999 / Relationship between clinical competence and interpersonal and communication skills in standardized patient assessment / Acad Med 74 : 271 ~ 274
Cuddy MM / 2006 / A multilevel analysis of the relationships between selected examinee characteristics and United States Medical Licensing Examination Step 2 clinical knowle
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