VERBAL EXCHANGES IN MEDICAL INTERVIEWS - CONCEPTS AND MEASUREMENT

被引:14
作者
STILES, WB [1 ]
PUTNAM, SM [1 ]
机构
[1] EDITH NOURSE ROGERS MEM VET ADM HOSP,BEDFORD,MA 01730
关键词
MEDICAL INTERVIEW; MEDICAL CONSULTATION; VERBAL INTERACTION; PATIENT CLINICIAN RELATIONSHIP;
D O I
10.1016/0277-9536(92)90031-K
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The verbal exchange theory of medical interviews (consultations) proposes that patients and clinicians employ a joint repertoire of exchanges to accomplish their goals in the encounter. The skeleton of each exchange is a set of speech acts that tend to be used together in interviews, for example, (a) clinician questions and patient yes/no answers, or (b) clinician directives and patient agreements to comply. We describe seven principal exchanges, each of which has been identified empirically in multiple studies of interviews: Exposition, Closed Question, Checking, Direction, Inquiry, Explanation, and Instruction/Contracts.
引用
收藏
页码:347 / 355
页数:9
相关论文
共 55 条
[1]   THE HEALING TOUCH [J].
BALDWIN, JG .
AMERICAN JOURNAL OF MEDICINE, 1986, 80 (01) :1-1
[2]   THE EFFECT OF PHYSICIAN BEHAVIOR ON THE COLLECTION OF DATA [J].
BECKMAN, HB ;
FRANKEL, RM .
ANNALS OF INTERNAL MEDICINE, 1984, 101 (05) :692-696
[3]   LAY EVALUATION OF MEDICAL-TREATMENT AND COMPETENCE DEVELOPMENT OF A MODEL OF THE FUNCTION OF THE PHYSICIANS AFFECTIVE BEHAVIOR [J].
BENSIRA, Z .
SOCIAL SCIENCE & MEDICINE, 1982, 16 (09) :1013-1019
[4]  
BERTAKIS KD, 1977, J FAM PRACTICE, V5, P217
[5]  
Bredfeldt R C, 1987, Fam Med, V19, P299
[6]   COMMON RESPONSE PATTERNS OF MEDICAL-STUDENTS IN INTERVIEWS OF HOSPITALIZED-PATIENTS [J].
BRENT, EE ;
BECKETT, DE .
MEDICAL CARE, 1986, 24 (11) :981-989
[7]  
BROWNBRIDGE G, 1987, THESIS U SHEFFIELD S
[8]  
BROWNBRIDGE G, 1986, DOCTOR PATIENT COMMU
[9]   DOCTORS TOUCH - TACTILE COMMUNICATION IN DOCTOR-PATIENT-RELATIONSHIP [J].
BRUHN, JG .
SOUTHERN MEDICAL JOURNAL, 1978, 71 (12) :1469-1473
[10]  
Byrne Patrick S, 1976, DOCTORS TALKING PATI