Gap–Kalamazoo communication skills assessment form

#communication #measurement #assessment

Gap–Kalamazoo Communication Skills Assessment Form（GKCSAF）起源自美國密歇根州的Kalamazoo共識會議。該會議由醫學教育家、臨床醫師和其他醫療專業人士共同參與，目的是為了提升臨床溝通技能的評估和教學方法。會議提出7項醫病溝通的重要元素或是領域 [1]，成為後續醫病溝通相關課程與評估工具的發展架構。Peterson等人（2014）根據該架構發展出GKCSAF [2]，讓單一或是多個評分者（通常是醫師、治療師、同儕）從第三者的角度評分醫病溝通當中醫療方的溝通能力。

GKCSAF內容與使用方式

GKCSAF包含九個溝通項目，原文與中文翻譯[3]如下：

  1. 建立醫病關係 (builds a relationship)
  2. 開啟議題討論 (opens the discussion)
  3. 收集資料 (gathers information)
  4. 了解病人/家屬的觀點 (understands the patients' and families perspectives)
  5. 確保病人/家屬理解訊息 (share information)
  6. 達成共識 (reaches agreement)
  7. 總結並結束 (provides closure)
  8. 展現同理 (demonstrates empathy)
  9. 傳遞正確資訊 (communicate accurate information)

評分者按照醫者的溝通表現，就這九個項目進行差(1)～極好(5)的5點評分。可以得到每個項目的單獨得分，以及9項加總的總分。

References

  1. Makoul, G. (2001). Essential elements of communication in medical encounters: The Kalamazoo consensus statement. Academic Medicine, 76(4), 390–393.
  2. Peterson, E. B., Calhoun, A. W., & Rider, E. A. (2014). The reliability of a modified Kalamazoo Consensus Statement Checklist for assessing the communication skills of multidisciplinary clinicians in the simulated environment. Patient Education and Counseling, 96(3), 411–418. https://doi.org/10.1016/j.pec.2014.07.013
  3. Fan, S.-C., Tsai, S.-T., Wang, Y.-C., Lee, M.-L., Huang, S.-L., & Hsieh, C.-L. (2024). Reliability of the Gap–Kalamazoo communication skills assessment form in occupational therapy. British Journal of Occupational Therapy, 03080226241239574. https://doi.org/10.1177/03080226241239574