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

患者和从业者之间的沟通是医疗保健的关键组成部分。患者与医生沟通的质量在信息收集和提供、理解患者的观点、建立有效的关系和决策方面是不可或缺的。然而，交流模式，即语言和非语言行为，在不同的临床医生群体和医疗保健环境中有所不同，有证据表明这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会诊中的沟通和会诊结果，但目前探讨性别的影响如何发生以及对会诊的影响的研究有限。这项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语言和非语言互动来解决这一知识差距。视频记录的全科医生会诊和相关患者访谈的数据集可用于二次分析。患者访谈数据将受到解释性现象学分析(IPA)的影响，该分析旨在了解患者的经历、按性别划分的健康信念和求助模式。记录下来的全科医生和医生之间的咨询将受到对话分析(CA)的影响，该分析旨在确定患者和医生之间不同性别的沟通模式。它还将探索全科医生和患者之间的和谐和不和谐的表现，以及这是否在同性和异性二元体中有所不同。这项研究将讨论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。

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.