INFORMATION-GIVING IN MEDICAL CONSULTATIONS - THE INFLUENCE OF PATIENTS COMMUNICATIVE STYLES AND PERSONAL CHARACTERISTICS
INFORMATION-GIVING IN MEDICAL CONSULTATIONS - THE INFLUENCE OF PATIENTS COMMUNICATIVE STYLES AND PERSONAL CHARACTERISTICS
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DOI：
10.1016/0277-9536(91)90288-n
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发表时间：
1991-01-01
影响因子：
5.4
通讯作者：
STREET, RL
中科院分区：
文献类型：
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作者：
STREET, RL
告知病人是医生最重要的沟通责任。认识到这一点，研究人员长期以来一直对为什么有些病人从医生那里得到的信息比其他人多这个问题感兴趣。本文认为，医生在医疗咨询中向患者提供的信息量可能受到两组因素的影响，即患者的个人特征（年龄、性别、受教育程度和焦虑程度）和患者的沟通方式（提问、发表意见和表达关注）。对某家庭诊所41例医患会诊的视听记录进行分析，发现以下几点值得注意的发现：(a)关于诊断和健康问题的信息主要与患者的焦虑、教育和提问有关，(b)关于治疗的信息主要是患者的提问和表达担忧的功能，(c)患者的自信和表达受到医生使用“建立伙伴关系”话语的强烈影响，这些话语征求了患者的问题、担忧和意见。这些数据表明，当试图解释影响医生信息量的因素时，研究人员必须考虑到患者沟通风格的特征以及医生对某些患者群体的看法。
Informing the patient is arguably the physician's most important communicative responsibility. Recognizing this researchers have long been interested in the question of why some patients receive more information from physicians than do others. In this paper, it is argued that the amount of information physicians provide patients during medical consultations may be influenced by two sets of factors, patients' personal characteristics (age, sex, education, and anxiety) and patients' communicative styles (question-asking, opinion-giving, and expression of concern). The analysis of audiovisual recordings of 41 physician-patient consultations in a family practice clinic revealed several notable findings: (a) information regarding diagnosis and health matters was primarily related to the patient's anxiety, education, and question-asking, (b) information regarding treatment was primarily a function of the patient's question-asking and expression of concerns, and (c) patients' assertiveness and expressiveness were strongly influenced by physicians' use of ‘partnership-building’ utterances that solicited the patient's questions, concerns, and opinions. The data suggest that, when attempting to explicate factors affecting physicians' informativeness, researchers must take into account features of the patients' communicative styles as well as physicians' perceptions of certain groups of patients.