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Health care providers generally perceived this question to be inappropriate.
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This decision was made after cognitive testing revealed that if the risk question was reversed, using the word 'benefit' rather than 'risk', the respondents perceived this 'benefit' question as the exact opposite of the 'risk' question.
It is possible that the question about 'revenue sources (Q8)' may have depressed the response rate, since physicians may have perceived this as a 'Big Brother'-style question.
In the open-ended questions, they perceived this task partly as an administrative task best performed by other personnel, and partly as not fully applicable to medical work (table 3, themes 1 and 5).
This was done to get a sense of how the respondent perceived the questions being asked.
Focus groups were used for initial cognitive testing of the S-HSOPSC which involved asking staff about how they perceived the questions.
They seemed to perceive the question as an insult to their winehood.
These findings suggest that many respondents perceive the question as ambiguous.
Question why you perceive this person is cranky.
This suggests that participants from the different groups answered the perceived difficulty question with similar reliability.
An issue for future studies to address is why a large percentage of respondents perceive the questions as not relevant or applicable to their situation.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com