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Interaction Exchange Structure and Patient Satisfaction with Medical Interviews

Bibliographic Data

ID9101382
AuthorsWilliam B Stiles (0000-0001-7740-0609, Miami University, corresponding author), Willlam B Stiles, Samuel M Putnam (0009-0009-3356-9109, University of North Carolina at Chapel Hill), Matthew H Wolf (University of North Carolina at Chapel Hill), A James (0000-0001-6287-8247, University of North Carolina at Chapel Hill), Sherman A James
Year1979
Volume17
Issue6
Pages667-681
Publication date1979-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-197906000-00010
PMID449436
OpenAlexW2094308581
LanguageEN
Citations received48
References cited10

The verbal interaction between patients and physicians in 52 initial interviews in a university hospital screening clinic was studied using a new discourse coding system. Factor analysis of category frequencies showed that each interview segment, medical history, physical examination, and conclusion, consisted mainly of two or three types of verbal exchange. Patient satisfaction with the interviews, assessed with a questionnaire that yields separate scores for satisfaction with cognitive and affective aspects, was found to be associated with exchanges involving the transmission of information in particular interview segments. Affective satisfaction was associated with transmission of information from patient to physician in "exposition" exchanges during the medical history, in which patients told their story in their own words. Cognitive satisfaction was associated with transmission of information from physician to patient in "feedback" exchanges during the conclusion segment, in which physicians gave patients information about illness and treatment

Coding (social sciences) · Cognition · Family medicine · Information exchange · Information transmission · Medical history · Medical information · Medical record · Patient satisfaction · Psychiatry · Clinical Reasoning and Diagnostic Skills · Computer Science · Medicine · Nursing · Patient Satisfaction in Healthcare · Patient-Provider Communication in Healthcare · Psychology

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Unique citing works48
Citations per year1,04
Citation span1980 - 2025 (46)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 33

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