GENDER IN MEDICAL ENCOUNTERS - AN ANALYSIS OF PHYSICIAN AND PATIENT COMMUNICATION IN A PRIMARY-CARE SETTING

GENDER IN MEDICAL ENCOUNTERS - AN ANALYSIS OF PHYSICIAN AND PATIENT COMMUNICATION IN A PRIMARY-CARE SETTING
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DOI:
10.1037/0278-6133.13.5.384
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发表时间:
1994-09-01
期刊:
影响因子:
4.2
通讯作者:
MILLER, LH
MILLER, LH
中科院分区:
心理学2区
文献类型:
--
作者:
HALL, JA;IRISH, JT;MILLER, LH

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在100例行医疗访问的医生和病人的性别,以口头和非口头沟通的关系进行了检查。女性医生进行更长的访问,做出更多积极的陈述,做出更多的伙伴关系陈述,提出更多的问题,做出更多的非正式回应,微笑和点头更多。患者向女医生提供了更多的伙伴关系声明,并提供了更多的医疗信息。在计划的对比中,女医生-女患者和女医生-男患者的组合受到特别关注。这些组合显示了医生和患者行为的独特模式,特别是在非语言交流方面。我们讨论了非临床环境中的性别差异的结果的关系,在医疗访问中的角色菌株,以及目前的医学教育的趋势。
The relation of physician and patient gender to verbal and nonverbal communication was examined in 100 routine medical visits. Female physicians conducted longer visits, made more positive statements, made more partnership statements, asked more questions, made more back-channel responses, and smiled and nodded more. Patients made more partnership statements and gave more medical information to female physicians. The combinations of female physician-female patient and female physician-male patient received special attention in planned contrasts. These combinations showed distinctive patterns of physician and patient behavior, especially in nonverbal communication. We discuss the relation of the results to gender differences in nonclinical settings, role strains in medical visits, and current trends in medical education.