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
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