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    Clinician-patient communication measures: drilling down into assumptions, approaches, and analyses

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    Authors
    Street, Richard L. Jr
    Mazor, Kathleen M.
    UMass Chan Affiliations
    Meyers Primary Care Institute
    Department of Medicine
    Document Type
    Journal Article
    Publication Date
    2017-08-01
    Keywords
    Communication measurement
    Matching measures to research questions
    Patient-centered communication
    Health Communication
    Health Services Administration
    
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    Link to Full Text
    https://doi.org/10.1016/j.pec.2017.03.021
    Abstract
    OBJECTIVE: To critically examine properties of clinician-patient communication measures and offer suggestions for selecting measures appropriate to the purposes of research or clinical practice assessment. METHODS: We analyzed different types of communication measures by focusing on their ontological properties. We describe their relative advantages and disadvantages with respect to different types of research questions. RESULTS: Communication measures vary along dimensions of reporter (observer vs. participant), focus of measurement (behavior, meaning, or quality), target, and timing. Observer coded measures of communication behavior function well as dependent variables (e.g., evaluating communication skill interventions, examining variability related to gender or race), but are less effective as predictors of perceptions and health outcomes. Measures of participants' judgments (e.g., what the communication means or how well it was done) capture patients' or clinicians' experiences (e.g., satisfaction) and can be useful for predicting outcomes, especially in longitudinal designs. CONCLUSION: In the absence of a theoretically coherent set of measures that could be used across research programs and applied setting, users should take steps to select measures with properties that are optimally matched to specific questions. PRACTICE IMPLICATIONS: Quality assessments of clinician-patient communication should take into account the timing of the assessment and use measures that drill down into specific aspects of patient experience to mitigate ceiling effects.
    Source
    Patient Educ Couns. 2017 Aug;100(8):1612-1618. doi: 10.1016/j.pec.2017.03.021. Epub 2017 Mar 18. Link to article on publisher's site
    DOI
    10.1016/j.pec.2017.03.021
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/29136
    PubMed ID
    28359660
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.pec.2017.03.021
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