Name:
Children's Hospital: Provider Survey (Parts 1 and 2)
Definition:
This survey assesses knowledge, attitudes, skills and behaviors before and
after an educational intervention.
Category:
Evaluation Tools - Provider Assessment
Source:
Children's Hospital and Regional Medical Center
Pediatric Palliative Care Project
Mail Stop CM - 11
4800 Sand Point Way, N.E.
Seattle, WA 98105
www.cshcn.org
Contact:
Beth McKinstry
bmckin@chmc.org
How the grantee used this instrument:
Physician self-administers Part I at or immediately following the enrollment
clinic visit; Physician responds to a telephone interview of Part II (or self-reports)
every three months.
Keywords:
pediatric, physician attitudes, physician survey, provider behavior, provider
confidence
To use this tool:
You may print and copy this tool for your own use from this site. Please credit
source.
References:
Developed specifically for this project by the project team.
To view this tool:
Left click on the download link to view the PDF document in your Web browser.
Right-click on the download link to save the document to your computer.
PDF
256 KB / 4 pages (Viewing
PDF files requires downloading and installation of the free Adobe
Acrobat Reader.)
Posted September 2003
Children's Hospital and Regional Medical Center overview page
# CHRMC5, type:provider_assessment
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