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

患者和医生之间的沟通是医疗保健的关键组成部分。医患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中是不可或缺的。然而，沟通模式，即语言和非语言行为，不同的临床医生群体和医疗机构，与证据的咨询和健康的影响。尽管有证据表明，临床医生和病人的性别可以影响沟通，在初级保健咨询，咨询结果，目前有有限的研究探讨性别的影响如何发生和影响咨询。本研究旨在通过探讨英国初级保健咨询中患者和医生性别如何影响口头和非口头互动来解决这一知识差距。一个数据集的视频记录的GP咨询和链接的病人访谈可用于二次分析。患者访谈数据将进行解释现象学分析（IPA），旨在了解患者的经验，性别健康信念和寻求帮助的模式。全科医生和医生之间的记录咨询将受到会话分析（CA），旨在确定患者和医生之间的性别差异的沟通模式。它还将探索全科医生和病人之间的一致性和不一致性的显示，以及这是否在同性和异性二人组中有所不同。该研究将探讨性别如何影响初级保健咨询中的行为，以及如何改进这种影响，以提供更好的治疗质量，并丰富个人的健康成果和福祉。

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.