Who is Being Assessed or Evaluated?:
Observer-based (e.g., rubric, rating tool, 360 degree feedback)
Notes for Type:
Patient survey of provider care.
Notes for Data Sources:
A total of 81 out of 105 adult patients approached (22.9% refusal rate) participated in the study, which took place in an academic, urban, Level 1 trauma center. Patients were excluded from the study if they had psychiatric issues, were critically ill, physiologically unstable, non-English speaking, or under arrest. This was a convenience sample recruited based on research assistant availability. Enrollment took place during eight, 10-hour shifts.
Notes for Content:
The CAT-T is a replica of the Communication Assessment Tool developed by Makoul, et al. (2007). The content of the original CAT consists of 14 patient evaluations of the quality of physicians' interpersonal communication skills and one item regarding the extent to which the doctor's staff treated them "with respect."
For the CAT-T, the authors made minor wording changes in the instructions and in item-stems to broaden the focus from a single doctor to a medical team. "Medical Team" was operationalized in the survey as "all the people who took care of you today." The item referring to "the doctor's staff" in the original CAT was changed to "the front desk staff" for the CAT-T.
15 items, approximately 5 minutes completion time.
A 5-point response scale was used to evaluate the quality of communication (1 = "poor," 5 = "excellent").
In this study, the CAT-T was administered in person by a research assistant just prior to a patient's discharge from the ED. They interviews took place either in the patient's bed or in a secluded hallway.
Percentage scores for each of the five quality levels were computed.
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