An investigation of gendered patient-doctor interaction in UK primary health

英国初级卫生保健中性别化的医患互动调查

• 批准号: 2606576
• 金额: --
• 依托单位: University of Southampton
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2021
• 资助国家: 英国
• 起止时间: 2021 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2606576
• 关键词: investigation; gendered; patient; doctor; interaction

Communication between patients and practitioners is a key component of healthcare. The quality ofpatient-practitioner communication is integral in information gathering and giving, understanding theperspective of the patient, building an effective relationship, and decision making. However,communication patterns, i.e. verbal and non-verbal behaviour, vary across clinician groups andhealthcare settings, with evidence of implications for consultation and health. Despite evidence thatclinician and patient gender can influence communication in primary care consultations, and consultationoutcomes, there is currently limited research exploring how the influence of gender occurs and impactson consultations. This study aims to address this gap in knowledge by exploring how patient and doctorgender influence verbal and non-verbal interactions in primary care consultations in the UK. A dataset ofvideo-recorded GP consultations and linked patient interviews is available for secondary analysis. Patientinterview data will be subjected to interpretive phenomenological analysis (IPA), which seeks tounderstand patient experience, gendered health beliefs and patterns of help-seeking. Recordedconsultations between GP and doctors will be subjected to Conversation Analysis (CA), which seeks toidentify communication patterns that differ with gender in both patients and doctors. It will also explorethe displays of concordance and discordance between GPs and patients, and whether this differs insame-sex and different-sex dyads. The study will address how gender influences behaviour in primarycare consultations and how this can be improved to provide better quality of treatment and enrich thehealth outcomes and wellbeing of individuals.

患者和从业者之间的沟通是医疗保健的重要组成部分。患者与从业者沟通的质量对于信息收集和提供、理解患者的观点、建立有效的关系和决策至关重要。然而，沟通模式，即言语和非言语行为，因临床医生群体和医疗保健环境而异，有证据表明对咨询和健康有影响。尽管有证据表明临床医生和患者的性别可以影响初级保健咨询中的​​沟通和咨询结果，但目前探索性别影响如何发生以及对咨询的影响的研究有限。本研究旨在通过探索患者和医生性别如何影响英国初级保健咨询中的​​言语和非言语互动，来解决这一知识差距。全科医生咨询视频和相关患者访谈的数据集可用于二次分析。患者访谈数据将接受解释现象学分析（IPA），旨在了解患者的经历、性别健康信念和寻求帮助的模式。全科医生和医生之间的咨询记录将接受对话分析（CA），旨在识别患者和医生之间因性别而异的沟通模式。它还将探讨全科医生和患者之间一致性和不一致的表现，以及这在同性和异性之间是否存在差异。该研究将探讨性别如何影响初级保健咨询中的​​行为，以及如何改进这一点，以提供更好的治疗质量并丰富个人的健康结果和福祉。