Aplicabilidade da escala de iatrogenia médica: teste piloto

Abstract

Iatrogenesis, derived from the communication process, acts on the patient's subjectivity, and it can occur in the scope of the doctor-patient relationship and during the clinical interview. Fact that demonstrates the importance of a clinical meeting with a doctor who understands its iatrogenic potential. Thus, this study aimed to identify the applicability and effectiveness of the medical iatrogenic scale in the scope of the doctor-patient relationship. This is a pilot study for the construction and validation of a psychometric scale. This study was carried out in four stages. The first consisted of choosing and defining the dimensions that made up the scale, observed through an extensive review of the world literature on iatrogenics in medicine. In the second stage, the items were subjected to theoretical analysis with five highly specialized medical doctors (called judges), in order to identify coherence between the definitions (dimensions) and the behaviors (items) that empirically represent the phenomenon. The third stage consisted of a construct validation phase, where the scale was applied to 50 female doctors who make up the faculty and preceptors of the medical course at PUC Goiás. the fourth and final stage were applied statistical tests that help in validating the scale. The pilot test proved to be very viable by presenting a Cronbach's alpha that allows the research to continue in a larger sample of the medical population. Therefore, the medical iatrogenic scale is promising to be applied on a large scale in the medical population in the future, given that the results presented provide reliability in order to be applied in all regions of the country.