Computer analysis system of the physician‐patient consultation process

Abstract

In this study, a computer-based communication analysis system was established that efficiently quantifies the quality of the physician-patient consultation process. The system is promising as an effective tool for evaluating the quality of physician-patient communication in clinical and educational settings.

Measurement of Physician-Patient Communication—A Systematic Review

“…More than half of the studies were conducted in Europe [23] – [25] , [30] , [32] – [42] , seven in the USA [28] , [29] , [43] – [47] , one in Canada [48] , one in Japan [49] and one in Kenya [50] . Study settings were mostly outpatient practices, but a few were conducted in (outpatient) departments of hospitals or medical care centers.…”

“…Study settings were mostly outpatient practices, but a few were conducted in (outpatient) departments of hospitals or medical care centers. Sixteen studies were initial studies on the psychometric properties of an instrument [28] – [30] , [32] – [34] , [39] , [40] , [42] – [49] , eight studies conducted further examination of psychometric properties of a previously developed instrument [23] – [25] , [35] – [38] , [41] , [50] . Characteristics of the included studies are displayed in Table 2 .…”

“…Another two instruments use both physician- and patient-reports [44] , [48] . Only one measure solely measures the physician's rating [28] and a last measure is a computer based analysis [49] . Characteristics of the identified measures are displayed in Table 3 .…”

“…Two studies [24] , [42] were rated as excellent, one study scored good [33] , six studies [32] , [39] , [44] , [45] , [48] , [50] scored fair and two studies [28] , [41] received a poor score. Hypotheses testing rating (Box F) was assessed in twelve studies [24] , [25] , [28] , [33] , [37] , [39] , [42] , [43] , [45] , [47] – [49] . Three studies were rated as fair [24] , [37] , [48] , eight studies received a poor score only [25] , [28] , [33] , [39] , [43] , [45] , [47] , [49] .…”

“…Hypotheses testing rating (Box F) was assessed in twelve studies [24] , [25] , [28] , [33] , [37] , [39] , [42] , [43] , [45] , [47] – [49] . Three studies were rated as fair [24] , [37] , [48] , eight studies received a poor score only [25] , [28] , [33] , [39] , [43] , [45] , [47] , [49] . The study on the PCBI [42] received a good rating for the physician scale and a poor rating for its patient scale.…”