Physicians' opening questions and patients' satisfaction

被引：120

作者：

Robinson, JD

Heritage, J ^{[1
]}

机构：

[1] Univ Calif Los Angeles, Dept Sociol, Los Angeles, CA 90025 USA

[2] Rutgers State Univ, Dept Commun, New Brunswick, NJ 08901 USA

来源：

PATIENT EDUCATION AND COUNSELING | 2006年 / 60卷 / 03期

关键词：

physician-patient communication; question; satisfaction; relationship; conversation analysis;

D O I：

10.1016/j.pec.2005.11.009

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: To determine the association between the format of physicians' opening questions that solicit patients' presenting concerns and patients' post-visit evaluations of (i.e., satisfaction with) the affective-relational dimension of physicians' communication. Methods: Videotape and questionnaire data were collected from visits between 28 primary-care physicians and 142 adult patients with acute problems. Factor analysis resulted in three dependent variables derived From the 9-item Socioemotional Behavior subscale of the Medical Interview Satisfaction Scale. Results: Question format was significantly, positively associated with patients' evaluations of physicians' listening (p =.028) and positive affective-relational communication (p =.046). Conclusion: Patients desire opportunities to present concerns in their own time and terms regardless of how extensively they act on this opportunity. Practice implications: Visits should be opened with general inquiries (e.g., What can I do for you today?) versus closed-ended requests for confirmation (e.g., Sore throat, huh?). (c) 2005 Elsevier Ireland Ltd. All rights reserved.

引用

页码：279 / 285

页数：7

共 46 条

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