Relevance and practical use of the Consultation and Relational Empathy (CARE) Measure in general practice
Relevance and practical use of the Consultation and Relational Empathy (CARE) Measure in general practice
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DOI：
10.1093/fampra/cmh730
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发表时间：
2005-06-01
期刊：
影响因子：
2.2
通讯作者：
Watt, GCM
中科院分区：
文献类型：
--
作者：
Mercer, SW;McConnachie, A;Watt, GCM
背景咨询和关系共情（CARE）测量已被开发作为一种工具，用于评估患者在咨询中的关系共情的看法。本文件提供的性能数据的照顾措施在一个大样本的全科咨询在高和低剥夺的领域。护理措施包括在一个自我完成的问卷调查研究，涉及3044名患者参加26个全科医生在26个不同的做法（16个在社会经济贫困和低贫困地区，在苏格兰西部）。全科医生和病人，在高度和低度贫困的设置，赞同护理措施的相关性。总体而言，76%的患者认为这项措施对他们目前的咨询“非常重要”。在老年患者、咨询心理社会问题的患者、长期患病或残疾的患者以及有显著情绪困扰的患者中观察到更高的重要性评级。很少有患者将个别护理措施项目评为“不适用”于他们当前的咨询;只有3.1%的患者认为该措施中的10个项目中有2个以上不适用于他们当前的咨询。平均值不受剥夺，性别，咨询的原因，慢性疾病，或情绪困扰。相关分析表明，50例患者的样本量足以可靠地估计平均CARE评分为个人GP。结论。这些结果表明，全科医生和病人都认为护理措施与一般医疗中的日常咨询直接相关，无论是在高度贫困还是低度贫困的环境中。这些措施在患者群体中是稳定的，对全科医生同情心的可靠估计需要每位医生完成50份问卷。
Background. The Consultation and Relational Empathy (CARE) Measure has been developed as a tool for assessing the patients' perceptions of relational empathy in the consultation.Objectives. The present paper provides performance data on the CARE measure in a large sample of general practice consultations in areas of high and low deprivation.Methods. The CARE Measure was included in a self-completed questionnaire study involving 3044 patients attending 26 GPs in 26 different practices (16 in areas of high socio-economic deprivation and 10 in low deprivation areas, in the west of Scotland).Results. GPs and patients, in both high and low deprivation settings, endorsed the relevance of the CARE Measure. Overall, 76% of patients rated the measure as being 'very important' to their current consultation. Higher rating of importance were observed in older patients, patients consulting with psycho-social problems, patients with long-standing illness or disability, and patients with significant emotional distress. Few patients rated individual CARE Measure items as being 'not applicable' to their current consultation; only 3.1% of patients felt that more than 2 of the 10 items in the measure did not apply to their current consultation. Mean values were not influenced by deprivation, gender, reason for consulting, chronic illness, or emotional distress. Correlational analysis indicated that a sample size of 50 patients is sufficient to reliably estimate mean CARE score for an individual GP.Conclusions. These results indicate that the CARE Measure is considered by GPs and patients alike as being of direct relevance to everyday consultations in general practice, in both high and low deprivation settings. The measures is stable across patient groups and a reliable estimate of perceived GP empathy requires 50 completed questionnaires per doctor.