Rating of physician competence: | |||||
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For these questions, I would like to know how much you agree with the following statements about the doctor in the video. Even if you feel you do not have enough information to give a firm opinion, we would like you to give your general impression or gut feeling. | Strongly agree | Agree | Neutral | Disagree | Strongly disagree |
The doctor seemed like he/she had good training. | 4 | 3 | 2 | 1 | 0 |
The doctor did not seem highly qualified. | 4 | 3 | 2 | 1 | 0 |
I would let that doctor treat me for problems with my heart. | 4 | 3 | 2 | 1 | 0 |
The doctor did not seem very competent. | 4 | 3 | 2 | 1 | 0 |
Trust in physician: | |||||
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For these questions, I would like to know how much you would agree with the following statements about the doctor, if you were the patient in the video. Again, even if you feel you do not have enough information to give a firm opinion, we would like you to give your general impression or gut feeling. | Strongly agree | Agree | Neutral | Disagree | Strongly disagree |
I doubt that the doctor would really care about me as a person. | 4 | 3 | 2 | 1 | 0 |
I think that doctor would be considerate of my needs and put them first. | 4 | 3 | 2 | 1 | 0 |
I would trust that doctor so much I would always try to follow his/her advice. | 4 | 3 | 2 | 1 | 0 |
If that doctor told me something is so, then I would believe it must be true. | 4 | 3 | 2 | 1 | 0 |
I would distrust that doctor's opinions and would like a second one. | 4 | 3 | 2 | 1 | 0 |
I would trust that doctor's judgments about my medical care. | 4 | 3 | 2 | 1 | 0 |
I would feel that doctor was not doing everything he/she should about my medical care. | 4 | 3 | 2 | 1 | 0 |
I would trust that doctor to put my medical needs above all other considerations when treating my medical problems. | 4 | 3 | 2 | 1 | 0 |
I would trust that doctor to tell me if a mistake was made about my treatment. | 4 | 3 | 2 | 1 | 0 |
I would worry that the doctor may not keep the information we discussed totally private. | 4 | 3 | 2 | 1 | 0 |
Liking/comfort with physician: | |||||
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For these questions, I would like to know how much you would agree with the following statements about the doctor, if you were the patient in the video. Again, even if you feel you do not have enough information to give a firm opinion, we would like you to give your general impression or gut feeling. | Strongly agree | Agree | Neutral | Disagree | Strongly disagree |
I think I would like that doctor as a person. | 4 | 3 | 2 | 1 | 0 |
I do not think that doctor and I would get along very well. | 4 | 3 | 2 | 1 | 0 |
I would feel very comfortable with that doctor. | 4 | 3 | 2 | 1 | 0 |
Global rating of physician: |
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In general, how would you rate this doctor? |
□ (1) Poor □ (2) Fair □ (3) Good □ (4) Very Good □ (5) Excellent. |
Necessity of CABG: | ||||||
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Absolutely necessary | Very necessary | Somewhat necessary | Somewhat unnecessary | Very unnecessary | Absolutely unnecessary | |
If you were the patient in the video, how necessary do you think it would be for you to have bypass surgery? | 5 | 4 | 3 | 2 | 1 | 0 |
Likelihood of undergoing CABG, getting a second opinion: | ||||
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If you were the patient in the video, would you… | Definitely | Probably | Probably not | Definitely not |
…have bypass surgery? | 3 | 2 | 1 | 0 |
…get a second opinion? | 3 | 2 | 1 | 0 |