| Título: | Asymmetrical Talk between Physicians and Patients: A Quantitative Discourse Analysis |
| Autores: |
Li, Han Z.; University of Northern British Columbia Desroches, Naghmeh G.; Grand River Hospital Yum, Young-Ok; Kansas State University Koehn, Corinne; University of Northern British Columbia Deagle, George; University of British Columbia |
| Fecha: | 2007-11-12 |
| Publicador: | Canadian Journal of Comumunication |
| Fuente: |
 |
| Tipo: |
info:eu-repo/semantics/article research-article info:eu-repo/semantics/publishedVersion |
| Tema: |
Communication Physician-patient communication; Health communication; Asymmetrical talk; Discourse analysis; Patient satisfaction; Health care in Canada |
| Descripción: | Abstract: This study examined the discursive dynamics between physicians and patients in order to understand associations between physicians’ communication patterns and patient satisfaction. Fieldwork was conducted in a clinic in northern British Columbia. Thirty-one physician-patient consultations were audiotaped, and follow-up questionnaires on satisfaction were filled out by patients. The Roter Interaction Analysis System was used to examine nine categories of talk. Our study confirmed previous assertions that physicians’ and patients’ talk patterns are highly asymmetrical. Physicians controlled the medical consultation by asking more questions than patients, and patients did not necessarily appreciate this type of communication. Male physicians tended to make more facilitative remarks when interviewing female than male patients, which was negatively correlated with patient satisfaction. Résumé : Cette étude examine les dynamiques discursives entre médecins et patients afin de comprendre le rapport entre les pratiques de communication des médecins et la satisfaction des patients. On a mené un travail sur le terrain dans une clinique du nord de la Colombie-Britannique. On y a enregistré trente et une consultations entre médecin et patient, après lequel les patients ont rempli des questionnaires sur leur niveau de satisfaction. On a recouru au système Roter (« Roter Interaction Analysis System ») pour examiner neuf catégories de parole. Notre étude a confirmé les résultats de recherches antérieures en reconnaissant une asymétrie entre le discours du médecin et celui du patient. En effet, les médecins ont contrôlé les consultations en posant plus de questions que les patients, et les patients n’ont pas forcément apprécié ce type de communication. Les hommes médecins avaient tendance à faire plus de remarques facilitatrices avec leurs patientes qu’avec leurs patients, ce qui a produit un effet négatif sur la satisfaction des patients en général. |
| Idioma: | Inglés |
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