醫學中心標準化病人角色規範、利他行為與工作投入之探討：質性資料比較方法 (Qualitative Comparative Analysis) 之應用

Abstract

Taiwan has started using Objective Structured Clinical Examination (OSCE) from overseas in recent years as an evaluation method to test clinical skills of medical education, and standardized patient (SP) has also been applied as an important assessment tool. This kind of examination has been generally accepted and become a trend in Taiwan. However, only few studies have focused on the current development and the behavior of standardized patient. This study takes standardized patients as subjects and was conducted by interviewing 32 standardized patients through a qualitative survey in seven medical centers. This study enables us to realize the current development of SP related work in medical centers, to confer the norm sources of standardized patient , and to explore the factors that cause standardized patients’ altruistic behavior and job involvement. The results show that： (1) Methods of SP related work and trainings including qualities applied vary among medical centers, and the ability to control the stability and consistency in the role-playing needs to be improved. (2) So far the related formal norms and requests authorized by medical centers for standardized patients to follow are not clear and complete enough. It makes the informal norms which embedded in the people interaction has much deep influence on standardized patients than the former. (3) The factors related to the altruistic behavior and job involvement of standardized patients include：gender, positive relationship, previous volunteering experiences, objective attitude from family, under one year’s SP experience, marriage, occupation other than students and motivation. The different combination of these factors has some levels of influence on the behavior of standardized patients.