作者
Veena Das, Benjamin Daniels, Ada Kwan, Vaibhav Saria, Ranendra Das, Madhukar Pai, Jishnu Das
发表日期
2022/5/1
期刊
Social Science & Medicine
卷号
300
页码范围
114571
出版商
Pergamon
简介
Simulated standardized patients (SSP) have emerged as close to a ‘gold standard’ for measuring the quality of clinical care. This method resolves problems of patient mix across healthcare providers and allows care to be benchmarked against preexisting standards. Nevertheless, SSPs are not real patients. How, then, should data from SSPs be considered relative to clinical observations with ‘real’ patients in a given health system?
Here, we reject the proposition that SSPs are direct substitutes for real patients and that the validity of SSP studies therefore relies on their ability to imitate real patients. Instead, we argue that the success of the SSP methodology lies in its counterfactual manipulations of the possibilities available to real careseekers – especially those paths not taken up by them – through which real responses can be elicited from real providers.
Using results from a unique pilot study where SSPs returned …
引用总数
20212022202320241564
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V Das, B Daniels, A Kwan, V Saria, R Das, M Pai, J Das - Social Science & Medicine, 2022