A model of empathic communication in the medical interview.
- To formulate an empirically derived model of empathic communication in medical interviews by describing the specific behaviors and patterns of interaction associated with verbal expressions of emotion.
- A descriptive, qualitative study of verbal exchanges using 11 transcripts and 12 videotapes of primary care office visits to a total of 21 physicians.
- An urban health maintenence organization (HMO), an urban university-based general medicine clinic, and an urban community hospital general medicine clinic.
- Individual review of transcripts by each research team member to identify instances of expressed or implied emotional themes and to observe the physicians'responses.
Individual ratings were compared in group discussions to achieve consensus about the classifications.
Similar consensus-based classification was used for review of videotapes.
- We observed that patients seldom verbalize their emotions directly and spontaneously, tending to offer clues instead.
If invited to elaborate, patients may then express the emotional concern directly, and the physician may respond with an accurate and explicit acknowledgment.
In most of the interviews, the physicians allowed both clues and direct expressions of affect to pass without acknowledgment, returning instead to the preceding topic, usually the diagnostic exploration of symptoms. (...)
Mots-clés Pascal : Communication orale, Empathie, Relation médecin malade, Critère qualité, Classification professionnelle, Aspect humain, Modèle comportement, Médecin, Etude comparative, Evaluation, Homme, Organisation santé
Mots-clés Pascal anglais : Oral communication, Empathy, Physician patient relation, Quality criterion, Professional classification, Human aspect, Behavior model, Physician, Comparative study, Evaluation, Human, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0197223
Code Inist : 002B30A05. Création : 21/05/1997.