ASSESSMENT OF DOCTOR ELDERLY PATIENT ENCOUNTERS

拟议研究的主要目的是进一步发展 ADEPT（医生-老年患者交易评估），一种工具 用于评估医生与老年患者的互动，这将： a.具有可接受的信度和效度 B.适用于评价医学生的沟通能力， 医生与老年患者的互动，以及医生自我评估 沟通技巧 500名医生和他们的老年病人的互动将是 在这个项目中使用的视频。两所大学将 提供250次互动，管理式护理组织将提供250次互动， 交互.将收集患者和医生特征， 每一次互动。此外，随访患者访谈将评估 患者满意度、理解、依从性、健康状况和成本 以医疗服务利用率来衡量。录像带会 被存档在圣刘易斯大学作为研究人员的数据库 研究医生和老年患者。ADEPT将 作为进一步确认 ADEPT的心理测量学特征及其预测患者的能力 结果。互动的录音带将在Roter中编码 交互分析系统与多维交互分析 用于比较性能特征的系统。 拟定商业应用： ADEPT的设计有两个目的。首先是作为一种评估 在教学和临床环境中使用的工具，以评估 医生的互动技巧。二是作为研究工具 来研究医生和老年病人之间的互动会有 ADEPT的三个市场--医学教育者、研究界和 管理式护理组织。ADEPT将在培训和 格式和质量保证格式。

The primary aim of the proposed research is the further development of ADEPT (Assessment of Doctor-Elderly Patient Transactions), an instrument for assessing doctor-elderly patient interaction which will: a. Have acceptable reliability and validity b. Be suitable for use in evaluating medical student communication skills, doctor-elderly patient interaction, and for physician self-assessment of communication skills Five hundred interactions of doctors and their elderly patients will be videotaped for use in this project. Two university based departments will provide 250 interactions, and a managed care organization will provide 250 interactions. Patient and physician characteristics will be gathered for each interaction. Additional, follow-up patient interviews will assess patient satisfaction, understanding, compliance, health status, and cost of care to be measured as health services utilization. The videotapes will be archived at Saint Louis University as a database for researchers studying doctors and elderly patients following this project. ADEPT will be applied to these videotapes as a means of further confirming the psychometric properties of ADEPT and its ability to predict patient outcomes. Audiotapes of the interaction will be coded in the Roter Interaction Analysis System and Multi Dimensional Interaction Analysis system for a comparison of performance characteristics. PROPOSED COMMERCIAL APPLICATION: ADEPT has been designed for two purposes. The first is as an assessment tool to be used in teaching and clinical settings to assess the interaction skills of physicians. The second is as a research instrument for studying how doctors and elderly patients interact. There will be three markets for ADEPT --medical educators, the research community and managed care organizations. ADEPT will be marketed in both a training format and a quality assurance format.