Gaps in Doctor-Patient Communication: Doctor-Patient Interaction Analysis
Gaps in Doctor-Patient Communication: Doctor-Patient Interaction Analysis
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医患沟通的差距：医患互动分析
DOI：
10.1203/00006450-197107000-00003
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发表时间：
1971
影响因子：
3.6
通讯作者：
B. Korsch
中科院分区：
文献类型：
--
作者：
Barbara Fremon;V. Negrete;Milton S. Davis;B. Korsch
浸提液：作为对医患沟通进行科学分析的几种方法之一，我们使用扩展版的Bales互动过程分析法对285例儿科门诊患者进行了仔细检查。数据分析包括个体病例研究和计算机程序，用于对病例和指数评分进行描述性总结。因子分析和卡方计算的方法，用来测试显着的关系之间的属性的医患互动和因变量，病人的满意度，依从性和demography.As假设，一个独特的行为模式出现了医生，父母和孩子。研究发现，与母亲相比，医生说话更多，但情感表达更少。几乎三分之二的母亲的沟通与病史有关，而医生讨论了病史和治疗，但几乎没有给母亲安慰或友谊，他与孩子的谈话几乎有一半是友好的陈述。一般来说，如果医生态度友好，表示团结，花时间讨论非医学的社会问题，并且给人以自由提供信息而不需要患者提出要求或感到过度质疑的印象，则医疗咨询的结果会受到有利的影响。推测：由于医患关系的复杂性和可供研究的方法有限，因此很少对医患关系进行科学探究或试图量化。我们希望，目前的努力以及其他正在进行的研究将有助于一个机构的科学信息本身可能有应用儿科教育和实践，并最终可能有助于一种方法，在迫切需要的研究质量的医疗保健。
Extract: As one of several approaches to scientific analysis of doctor-patient communication 285 visits to a pediatric walk-in clinic were scrutinized using an expanded version of Bales' Interaction Process Analysis Data analysis consisted of individual case studies and computer programs for descriptive summaries of cases and index scores. Factor analysis and chi-square calculations were among the methods used to test significant relations between attributes of the doctor-patient interaction and the dependent variables, patient satisfaction, compliance, and demography.As hypothesized, a distinctive behavior pattern emerged for doctor, parent, and child. Doctors were found to talk more but show less emotion than mothers. Almost two-thirds of the mother's communication related to medical history, while the doctor discussed history and treatment but gave little reassurance or friendlines to the mother, almost half of his conversation with the child consisited of friendly statements. In general, outcome of the medical consultation was found to be favourably influenced by having physician who was friendly, expressed solidarity, took some time to discuss nonmedical, social subjects, and gave the impression of offering information freely without the patients having to request it or feeling excessively questioned.Speculation: Because of the complicated nature and limited methods available for study, the doctor-patient relation has rarely been subjected to scientific inquiry or attempts at quantification. It is hoped that the present effort as well as other ongoing studies will contribute to a body of scientific information which in itself may have application for pediatric education and practice and which ultimately might contribute one approach in urgently needed studies of the quality of medical care.