Computer analysis system for the physician-patient consultation process (CASC)



Developers: Kimiko Katsuyama, Yuichi Koyama, Yasushi Hirano, Kenji Mase, Ken Kato, Satoshi Mizuno, Kazunobu Yamauchi

Year of publication: 2010

Date of last revision: 21 October 2019

Setting in which the tool was originally developed/validated: Migraine physician's office

Restriction to setting(s): None

Target group: Physicians and patients with migraine

Language(s): Japanese

Tool topics:

Gathering information/listening
General communication behavior / Overall communication behavior
Information giving / providing information / explanation and planning

Specific constructs/behaviours:

Quality of the physician-patient consultation process based on SaitoНs narrative-based medicine (NBM)

Specific behaviors:
Concept structure: How much and with what frequency the same words are used in the conversation between a physician and a patient at each of the 5 NBM stages.
Concept space: Based on word use, visualization of the gap or overlap between the physician and patient topics at each stage

. Process 1. Listening to the patientНs story of the experience of his or her illness
(listening).
. Process 2. Sharing the сstory about the patientНs storyо (emplotting or
verbalization).
. Process 3. Developing the сphysicianНs storyо (abduction or hypothesis).
. Process 4. Comparing stories and emerging new stories (negotiation and
emergence of new story).
. Process 5. Assessing medical care (assessment).

Types of data required to use the tool: Transcripts

Intended application: Education

Reference(s) to development/validation paper(s):

Kimiko Katsuyama, Yuichi Koyama, Yasushi Hirano, Kenji Mase, Ken Kato, Satoshi Mizuno, Kazunobu Yamauchi, (2010) "Computer analysis system of the physician_patient consultation process", International journal of Health Care Quality Assurance, Vol. 23 Issue: 4, pp.378-399

Tool/manual available: No.

Access: Public