Outcome-Based Doctor-Patient Interaction Analysis
I. Comparison of Techniques
Datos Bibliográficos
| ID | 9102054 |
|---|---|
| Autores | Thomas S Inui (University of Washington, autor de correspondencia), William B Carter (University of Washington), Walter A Kukull (0000-0001-8761-9014, Health Services Research & Development), Virginia H Haigh (Health Services Research & Development) |
| Año | 1982 |
| Volumen | 20 |
| Número | 6 |
| Páginas | 535-549 |
| Fecha de publicación | 1982-06-01 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | Medical Care (JOURNAL) |
| Identificadores de la revista | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Editorial | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198206000-00001 |
| PMID | 7109738 |
| OpenAlex | W2045351710 |
| Idioma | EN |
| Citas recibidas | 43 |
| Referencias citadas | 12 |
Interactional analysis (IA) systems have been devised and applied to doctor-patient dialogues to describe encounters and to relate process to outcomes. Prior work in this area has been typified by the use of a single taxonomy for classifying verbal behaviors and limited outcomes (compliance and/or satisfaction). We applied three different IA systems (Bales, Roter's modified Bales with affective ratings, and Stiles' "Verbal Response Modes") to 101 new-patient visits to a general medical clinic for which multiple outcomes had been determined: several measures of patient knowledge of problems at conclusion of visit; patient compliance with drugs (over the ensuing three months); and patient satisfaction with the visit (perceived technical, interpersonal and communication quality). Within IA systems, cross tabulations and multiple regressions were performed to relate encounter events to outcomes. Across IA systems, multiple regression R2 and R2 adjusted (R2a) for the number of independent variables entering were used to characterize strength of relationships. Roter's IA system showed stronger relationships to outcomes of knowledge (41% R2, 27% R2a) and compliance (44% R2, 28% R2a) than did Bales' or Stiles' systems. R2 for patient satisfaction was identical for Bales and Roter (35%), and greater than R2 for Stiles (14%). We conclude that choice of IA system for research or teaching purposes should be based on behaviors and outcomes of particular interest and importance to the user. Based on audioreview of tapes, Roter's approach is less time-consuming and may perform as well as more complex systems requiring transcript analysis
Compliance (psychology) · Interpersonal communication · Interpersonal interaction · Interpersonal relationship · Outcome (game theory) · Patient satisfaction · Applied Psychology · Clinical Psychology · Communication in Education and Healthcare · Language, Discourse, Communication Strategies · Medicine · Nursing · Patient-Provider Communication in Healthcare · Psychology · Social Psychology
Development of a patient decision aid for choice of surgical treatment for breast cancer
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From sentence to sequence
Relations Between Physicians?? Behaviors and Analogue Patients?? Satisfaction, Recall, and Impressions
Instrumental and Affective Aspects of Physician Behavior
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The Associations of Clinicians’ Implicit Attitudes About Race With Medical Visit Communication and Patient Ratings of Interpersonal Care
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The relevance of client-centered communication to family planning settings in developing countries
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Physician-patient dialogue surrounding patients' expression of concern
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What is a successful doctor-patient interview? a study of interactions and outcomes
Physician-patient communication and patient satisfaction in Japanese cancer consultations
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Relationship between outpatients' perceptions of physicians' communication styles and patients' anxiety levels in a Japanese oncology setting
Doctor-patient interactions in oncology
The impact of general practitioners' patient-centredness on patients' post-consultation satisfaction and enablement
Patient Participation in the Patient-Provider Interaction
Communication of Affect between Patient and Physician
The influence of patient-practitioner agreement on outcome of care
Nonverbal Communication Between Patients and Medical Practitioners
An Observation Methodology for the Study of Interactive Clinical Problem-Solving Behavior in Primary Care Settings
Effects of a Self-Administered Health History on New-Patient Visits in a General Medical Clinic
Variations in Patient Compliance with Common Long-Term Drugs
Interaction Exchange Structure and Patient Satisfaction with Medical Interviews
Predicting Patient Satisfaction from Physicians??? Nonverbal Communication Skills
Dimensions of Patient Attitudes Regarding Doctors and Medical Care Services
Verbal response modes and dimensions of interpersonal roles
Categories for classifying language in psychotherapy
| Obras citantes distintas | 43 |
|---|---|
| Citas por año | 1 |
| Intervalo de citas | 1983 - 2023 (41) |
| Velocidad de citación | historical |
| Altamente citado | No |
| Tipos de cita | Neutras: 29 |