The advantages and challenges of unannounced standardized patient methodology to assess healthcare communication.
The advantages and challenges of unannounced standardized patient methodology to assess healthcare communication.
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DOI：
10.1016/j.pec.2011.01.021
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发表时间：
2011-03
影响因子：
3.5
通讯作者：
Longo DR
中科院分区：
文献类型：
--
作者：
Siminoff LA;Rogers HL;Waller AC;Harris-Haywood S;Esptein RM;Carrio FB;Gliva-McConvey G;Longo DR
本文概述了在临床环境中使用未经通知的标准化患者（USP）进行健康传播研究的实施情况。某些类型的健康沟通情况很难捕捉，因为它们的罕见性或不可预测的性质。在初级保健中，在咨询进行得很好之前，往往不知道就诊的真实的原因。因此，沟通研究在逻辑上很难捕捉患者与医生之间的许多实时沟通。虽然USP方法是捕捉这些沟通行为的理想方法，但使用这种方法的挑战包括与临床实践建立合作关系，后勤问题，如保护USP的身份，培训USP并创建他们的身份，保持对角色的忠诚，以及分析结果数据。本文讨论了USP实施的挑战和解决方案。我们提供了一个例子，如何实施USP研究正在进行的研究正在进行的初级保健实践。本文探讨了优势和挑战，以及战略，以克服实施USP研究的障碍。尽管面临挑战，USP方法可以大大有助于我们对健康传播和实践的理解。
This paper provides an overview of the implementation of using Unannounced Standardized Patients (USPs) to conduct health communication research in clinical settings. Certain types of health communication situations are difficult to capture because of their rarity or unpredictable nature. In primary care the real reasons for a visit are frequently unknown until the consultation is well under way. Therefore, it is logistically difficult for communication studies to capture many real-time communications between patients and their physicians. Although the USP methodology is ideal for capturing these communication behaviors, challenges to using this method include developing collaborative relationships with clinical practices, logistical issues such as safeguarding the identity of the USP, training USPs and creating their identities, maintaining fidelity to the role, and analyzing the resultant data. This paper discusses the challenges and solutions to USP implementation. We provide an example of how to implement a USP study using an on-going study being conducted in primary care practices. This paper explores the advantages and challenges as well as strategies to overcome obstacles to implementing a USP study. Despite the challenges, USP methodology can contribute much to our understanding of health communication and practice.
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影响因子：
5.7
作者：
Jerant, Anthony;Kravitz, Richard L.;Azari, Rahman;White, Lynda;Garcia, Jorge A.;Vierra, Heather;Virata, Maria Catrina;Franks, Peter
通讯作者：
Franks, Peter
影响因子：
3
作者：
Hulsman, Robert L.;Pranger, Susan;Smets, Ellen M. A.
通讯作者：
Smets, Ellen M. A.
影响因子：
3.3
作者：
Epstein, RM;Shields, CG;Duberstein, PR
通讯作者：
Duberstein, PR
影响因子：
2.5
作者：
Milone, Jennifer M.;Burg, Mary Ann;Pauly, Rebecca R.
通讯作者：
Pauly, Rebecca R.
DOI：
10.1016/j.ambp.2007.11.004
发表时间：
2008-03-01
期刊：
AMBULATORY PEDIATRICS
影响因子：
--
作者：
Ozuah, Philip O.;Reznik, Marina
通讯作者：
Reznik, Marina