Evaluating provider communication in pediatric chronic kidney disease care using a global coding system.
Evaluating provider communication in pediatric chronic kidney disease care using a global coding system.
复制标题
使用全球编码系统评估小儿慢性肾脏疾病护理中提供者的沟通。
DOI：
10.1016/j.pec.2020.02.014
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发表时间：
2020-07
影响因子：
3.5
通讯作者：
Riekert KA
中科院分区：
文献类型：
--
作者：
Coburn SS;Callon WA;Eakin MN;Pruette CS;Brady TM;Mendley SR;Tuchman S;Fivush BA;Riekert KA
在患有慢性病的青少年和年轻人（AYAs）中，有效的提供者沟通对于在敏感的发育期以患者为中心的护理至关重要。然而，AYAs在慢性病护理中的沟通并没有得到很好的研究。我们的目标是描述儿科慢性肾脏病（CKD）护理访视中提供者的沟通技巧，并确定沟通技巧是否因AYA特征而异。我们采用了一个全球咨询评级系统，用于儿科专科护理，使用了18名儿科肾病学家（99名AYA（年龄M（SD）=14.9（2.6）），CKD 1-5期）和96名护理人员的录音门诊。我们假设提供者的沟通技巧会因AYA特征（年龄，性别和种族）而不同。最强的提供者技能包括启动会话和发展融洽关系;最低评分的技能是询问患者的观点和检查理解。交流得分并不总是随着AYA年龄或种族而不同，但女性AYA在几个领域的得分更高（ps<0.05）。儿科医生通常与AYA有足够或良好的沟通得分，但某些技能的提高，特别是男性AYA，可能会进一步支持以病人为中心的护理。为了与AYA实现一致的、以患者为中心的沟通，基于观察的全球评估可以确定提供者改进的领域。
Among adolescents and young adults (AYAs) with chronic illness, effective provider communication is essential for patient-centered care during a sensitive developmental period. However, communication in chronic illness care for AYAs is not well studied. Our objectives were to describe the provider communication skills in pediatric chronic kidney disease (CKD) care visits; and determine if communication skills differ by AYA characteristics. We adapted a global consultation rating system for pediatric subspecialty care using audiotaped clinic encounters of 18 pediatric nephrologists with 99 AYAs (age M(SD)=14.9(2.6)) with CKD stages 1–5 and 96 caregivers. We hypothesized that provider communication skills would differ by AYA characteristics (age, gender, and race). The strongest provider skills included initiating the session and developing rapport; lowest rated skills were asking patient’s perspective and checking understanding. Communication scores did not consistently differ by AYA age or race, but were rated higher with female AYAs in several domains (ps<0.05). Pediatric providers generally had adequate or good communication scores with AYAs, but improvement in certain skills, particularly with male AYAs, may further support patient-centered care. To achieve consistent, patient-centered communication with AYAs, an observation-based global assessment may identify areas for provider improvement.
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影响因子：
28.4
作者：
Epstein RM;Duberstein PR;Fenton JJ;Fiscella K;Hoerger M;Tancredi DJ;Xing G;Gramling R;Mohile S;Franks P;Kaesberg P;Plumb S;Cipri CS;Street RL Jr;Shields CG;Back AL;Butow P;Walczak A;Tattersall M;Venuti A;Sullivan P;Robinson M;Hoh B;Lewis L;Kravitz RL
通讯作者：
Kravitz RL
DOI：
10.1001/archpedi.1997.02170430052011
发表时间：
1997-06-01
影响因子：
--
作者：
Bernzweig, J;Takayama, JI;Pantell, RH
通讯作者：
Pantell, RH
影响因子：
9.7
作者：
Levinson, Wendy;Lesser, Cara S.;Epstein, Ronald M.
通讯作者：
Epstein, Ronald M.
影响因子：
6
作者：
Kurtz, SM;Silverman, JD
通讯作者：
Silverman, JD
影响因子：
8
作者：
Flores, G;Olson, L;Tomany-Korman, SC
通讯作者：
Tomany-Korman, SC