Communication patterns of primary care physicians.
- To use audiotape analysis to describe communication patterns in primary care, to relate these to ideal relationship types as described in the literature, and to explore the patterns'relationships with physician and patient characteristics and satisfaction.
- Description of routine communication in primary care based on audiotape analysis and patient and physician exit questionnaires.
- A total of 11 ambulatory clinics and private practices.
- The participants were 127 physicians and 537 patients coping with ongoing problems related to disease.
Main Outcomes Measures
- Roter Interactional Analysis System (RIAS) and patient and physician exit satisfaction questionnaires.
- Cluster analysis revealed 5 distinct communication pattems :
(1) « narrowly biomedical, » characterized by closed-ended medical questions and biomedical talk occurring in 32% of visits ;
(2) « expanded biomedical, » like the restricted pattem but with moderate levels of psychosocial discussion occurring in 33% of the visits ;
(3) « biopsychosocial, » reflecting a balance of psychosocial and biomedical topics (20% of the visits) ;
(4) « psychosocial, » characterized by psychosocial exchange (8% of visits) ;
and (5) « consumerist, » characterized primarily by patient questions and physician information giving (8% of visits).
Biomedically focused visits were used more often with more sick, older, and lower income patients by younger, male physicians. (...)
Mots-clés Pascal : Soin santé primaire, Médecin, Relation médecin malade, Pratique professionnelle, Homme
Mots-clés Pascal anglais : Primary health care, Physician, Physician patient relation, Professional practice, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0156027
Code Inist : 002B30A05. Création : 21/05/1997.