Caring and dominance affect participants' perceptions and behaviors during a virtual medical visit
Caring and dominance affect participants' perceptions and behaviors during a virtual medical visit
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DOI：
10.1007/s11606-008-0512-5
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发表时间：
2008-05-01
影响因子：
5.7
通讯作者：
Roter, Debra L.
中科院分区：
文献类型：
--
作者：
Mast, Marianne Schmid;Hall, Judith A.;Roter, Debra L.
背景：医生的沟通方式影响患者的认知和行为。医生沟通风格的两个方面，关怀和优势，往往是相关的，在一个高关怀的医生通常是不占主导地位，反之亦然。目的：本研究旨在测试的唯一或联合影响的医生关怀和医生的优势，参与者的看法和行为，在医疗访问。在一项实验设计中，模拟患者（AP）（167名大学生）与计算机屏幕上的计算机生成的虚拟医生进行互动。参与者被随机分配到4个实验条件之一（医生沟通风格：高优势和低关怀，高优势和高关怀，低优势和低关怀，或低优势和高关怀）。访问期间的AP的语言和非语言行为，以及他们的看法的虚拟medicinarian.RESULTS：模拟患者能够区分虚拟医生的通信的优势和关怀方面。此外，AP提供更少的医疗信息，说话少，同意更多的互动时，与高主导相比，低主导的医生。他们还谈到了更多的情绪，并更快地轮流发言时，与一个高关怀相比，一个低关怀physicist.CONCLUSIONS：占主导地位的和关怀的医生引起不同的情绪和行为反应AP。医生的主导地位减少了患者在医疗对话中的参与，并产生顺从性，而医生的关怀增加了患者的情绪。
BACKGROUND: Physician communication style affects patients' perceptions and behaviors. Two aspects of physician communication style, caring and dominance, are often related in that a high caring physician is usually not dominant and vice versa.OBJECTIVE: This research was aimed at testing the sole or joint impact of physician caring and physician dominance on participant perceptions and behavior during the medical visit.PARTICIPANTS AND DESIGN: In an experimental design, analog patients (APs) (167 university students) interacted with a computer-generated virtual physician on a computer screen. Participants were randomly assigned to 1 of 4 experimental conditions (physician communication style: high dominance and low caring, high dominance and high caring, low dominance and low caring, or low dominance and high caring). The APs' verbal and nonverbal behavior during the visit as well as their perception of the virtual physician were assessed.RESULTS: Analog patients were able to distinguish dominance and caring dimensions of the virtual physician's communication. Moreover, APs provided less medical information, spoke less, and agreed more when interacting with a high-dominant compared to a low-dominant physician. They also talked more about emotions and were quicker in taking their turn to speak when interacting with a high-caring compared to a low-caring physician.CONCLUSIONS: Dominant and caring physicians elicit different emotional and behavioral responses from APs. Physician dominance reduces patient engagement in the medical dialog and produces submissiveness, whereas physician caring increases patient emotionality.