GENDER IN MEDICAL ENCOUNTERS - AN ANALYSIS OF PHYSICIAN AND PATIENT COMMUNICATION IN A PRIMARY-CARE SETTING

被引:293
作者
HALL, JA
IRISH, JT
ROTER, DL
EHRLICH, CM
MILLER, LH
机构
[1] JOHNS HOPKINS UNIV,SCH HYG & PUBL HLTH,DEPT HLTH POLICY & MANAGEMENT,BALTIMORE,MD 21218
[2] MASSACHUSETTS GEN HOSP,DEPT MED,BOSTON,MA 02114
[3] HARVARD UNIV,SCH MED,DEPT MED,BOSTON,MA 02115
[4] MT SINAI SCH MED,NEW YORK,NY
关键词
PHYSICIAN GENDER; PATIENT GENDER; VERBAL COMMUNICATION; NONVERBAL COMMUNICATION;
D O I
10.1037/0278-6133.13.5.384
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The relation of physician and patient gender to verbal and nonverbal communication was examined in 100 routine medical visits. Female physicians conducted longer visits, made more positive statements, made more partnership statements, asked more questions, made more back-channel responses, and smiled and nodded more. Patients made more partnership statements and gave more medical information to female physicians. The combinations of female physician-female patient and female physician-male patient received special attention in planned contrasts. These combinations showed distinctive patterns of physician and patient behavior, especially in nonverbal communication. We discuss the relation of the results to gender differences in nonclinical settings, role strains in medical visits, and current trends in medical education.
引用
收藏
页码:384 / 392
页数:9
相关论文
共 52 条
[1]  
ARIES E, 1987, SEX GENDER REV PERSO, V7, P149
[2]  
Bales R., 1950, AM SOCIOL REV
[3]   INTERACTIONS BETWEEN ONCOLOGISTS AND PATIENTS DURING ROUNDS [J].
BLANCHARD, CG ;
RUCKDESCHEL, JC ;
BLANCHARD, EB ;
ARENA, JG ;
SAUNDERS, NL ;
MALLOY, ED .
ANNALS OF INTERNAL MEDICINE, 1983, 99 (05) :694-699
[4]   BRINGING SOCIAL-STRUCTURE BACK INTO CLINICAL DECISION-MAKING [J].
CLARK, JA ;
POTTER, DA ;
MCKINLAY, JB .
SOCIAL SCIENCE & MEDICINE, 1991, 32 (08) :853-866
[5]  
CYPRESS BK, 1983, DHHS PHS831734 PUBL
[6]   GENDER DIFFERENCES IN THE CLINICAL COMPETENCE OF RESIDENTS IN INTERNAL MEDICINE [J].
DAY, SC ;
NORCINI, JJ ;
SHEA, JA ;
BENSON, JA .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1989, 4 (04) :309-312
[7]  
DEPAULO BM, 1979, SKILL NONVERBAL COMM, P204
[8]  
Di Matteo MR, 1982, ACHIEVING PATIENT CO
[9]   SEX-DIFFERENCES IN SELF-DISCLOSURE - A METAANALYSIS [J].
DINDIA, K ;
ALLEN, M .
PSYCHOLOGICAL BULLETIN, 1992, 112 (01) :106-124