PRINCIPLE AGENDAS OF DOCTORS AND PATIENTS IN GENERAL-PRACTICE CONSULTATIONS

被引:34
作者
CAMPION, PD [1 ]
BUTLER, NM [1 ]
COX, AD [1 ]
机构
[1] UNIV LIVERPOOL,DEPT GEN PRACTICE,POB 147,LIVERPOOL L69 3BX,ENGLAND
关键词
D O I
10.1093/fampra/9.2.181
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Seventy-three general practice interviews were analysed according to the method described by Butler et al.1 Results for the three principal agenda types (physical, emotional and social) are presented in terms of the control exerted by either doctor or patient in determining the content of the interview. Both doctor and patient address physical agendas to a similar high degree. In contrast, patients present emotional agendas to a far greater extent than doctors address these concerns. The findings for social agendas are intermediate between those for physical and those for emotional agendas. It is argued that doctors can facilitate the expression of emotional and social agendas by giving explicit or implicit permission for their presence in the interview.
引用
收藏
页码:181 / 190
页数:10
相关论文
共 40 条
  • [1] Butler N.M., Campion P.D., Cox A.D., Exploration of Doctor and Patient Agendas in General Practice Consulta-Tions.
  • [2] Wasserman R.C., Inui RS. Systematic analysis of doctor- patient interactions: A critique of recent approaches with suggestions for future research, Med Owe, 21, (1983)
  • [3] Bale R.F., Interaction Process Analysis, (1950)
  • [4] Bale R.F., Interaction process analysis, International Encyclopaedia of the Social Sciences, 7, (1968)
  • [5] Freemon B., Negrete V.F., Davis M., Korsch B.M., Gaps in doctor-patient communications: Doctor-patient interaction analysis, Ped Res, 5, (1971)
  • [6] Stiles W.B., Verbal response-modes and dimensions of inter personal roles: A method of discourse analysis, J per Soc Psychol, 36, (1979)
  • [7] Levenstein J.A., McCracken E.C., McWhinney I.R., Stewart M.A., Brown J.B., The patient-centred clinical method. I. A model for the doctor-patient interaction in family medicine, Fam Practice, 3, pp. 24-30, (1986)
  • [8] Brown J., Stewart M., McCracken E., McWhinney I.R., Levenstein J., The patient centred clinical method, 2. Definition and application, Fam Pract, 3, pp. 75-79, (1986)
  • [9] Butler N.M., Campion P.D., Cox A.D., Exploration of doctor and patient agendas in general practice interviews: I. Method, Soc Sci Med, (1991)
  • [10] Balint M., Hunt J., Joyce D., Et al., Treatment Or Diagnosis: A Study of Repeat Prescriptions in General Practice, (1970)