Автор |
Arntson, Paul, H. |
Автор |
Philipsborn, Herbert, F. |
Дата выпуска |
1982 |
dc.description |
This study investigated pediatrician-parent communication by content, analyz ing medical encounters in a setting providing continuity of care. Thirty-eight encounters between middle class families and three senior pediatricians were au dio-taped, transcribed, and analyzed for content. The categories of medical com munication coded from the interactions were related to each family's medical and demographic characteristics. Five patterns of results emerged: (1) There was a highly stylized active-passive role relationship, with doctors asking twice as many questions and making twice as many commands as the parents did. (2) A strong reciprocity norm existed between pediatricians and parents for the communication of affect. (3) The higher the experience, income, and educational levels of the parents, the shorter the encounters were, the less frequently symptoms were dis cussed, and the more frequently medication and professional treatment were men tioned. (4) Parents discussed health more in terms of organicity of causes than did pediatricians who, more frequently, raised environmental factors. (5) The more the family had a history of past illnesses, the more frequently the doctors made affect comments during the encounters. Comparing the results to findings drawn from an emergency clinic documented the importance of sustained relationships between practitioners and patients. |
Издатель |
Sage Publications |
Название |
Pediatrician-Parent Communication in a Continuity-of-care Setting |
Тип |
Journal Article |
DOI |
10.1177/000992288202100507 |
Print ISSN |
0009-9228 |
Журнал |
Clinical Pediatrics |
Том |
21 |
Первая страница |
302 |
Последняя страница |
307 |
Аффилиация |
Arntson, Paul, H., Department of CemnmnKation Studies, Center for Urban Affairs, Northwestern University |
Аффилиация |
Philipsborn, Herbert, F., Child and Adolescent Center, Evanston Hospital Department of Pediatrics, McGaw Medical Center, Northwestern University Medical School, Evanston, Illinois |
Выпуск |
5 |
Библиографическая ссылка |
Korsch B., Negrete V.: Doctor-patient communication. Sci Am227:66, 1972 |
Библиографическая ссылка |
Korsch BM: Teaching interviewing. Pediatrics5:305, 1975 |
Библиографическая ссылка |
Raimbault G. , Cachin O., Limal JM, et al: Aspects of communication between patients and doctors: an analysis of the discourse in medical interviews . Pediatrics 55:401, 1975 |
Библиографическая ссылка |
Korsch B., Gozzi E., Francis V.: Gaps in doctor-patient communication: doctor-patient interaction and patient satisfaction. Pediatrics42:855, 1968 |
Библиографическая ссылка |
Korsch B., Freemon B., Negrete V.: Practical implications of doctor-patient interaction analysis for pediatric practice. Am J Dis Child121:110, 1971 |
Библиографическая ссылка |
Francis V., Korsch B., Morris M.: Gaps in doctor-patient communication: patients' responses to medical advice . N Engl J Med 280:535, 1969 |
Библиографическая ссылка |
Freemon B., Negrete V., Davis M., et al: Gaps in doctor-patient communication: doctor-patient interaction analysis. Pediatr Res5:298, 1971 |
Библиографическая ссылка |
Deisher R., Engel W., Speilholz R., et al: Mothers' opinions of their pediatric care. Pediatrics35:82, 1965 |
Библиографическая ссылка |
Liptak GS, Hulka BS, Cassell JC: Effectiveness of physician-mother interactions during infancy. Pediatrics60:186, 1977 |
Библиографическая ссылка |
Arntson PH, Philipsborn H., Hurlow R., et al: Pediatrician parent communication: in progress. Paper presented to the International Communication Association , April, 1976 |
Библиографическая ссылка |
Daly MB, Hulka BS: Talking with the doctor, 2. J Commun25:151, 1975 |
Библиографическая ссылка |
Fuguitt GV, Lieberson S.: Correlation of ratios or difference scores having common terms, Sociological Methodology 1973-1974. Edited by Cosmir HL , San Francisco, Jossey-Bass , 1974 |
Библиографическая ссылка |
McNemar Q.: Psychological Statistics, Fourth edition. New York, John Wiley & Sons , 1969 |
Библиографическая ссылка |
Davis M.: Variations in patients' compliance with doctors' advice: an empirical analysis of patterns of communication. Am J Public Health58:274, 1968 |