Physician–patient dialogue surrounding patients’ expression of concern: applying sequence analysis to RIAS

The aim of this study was to analyse with sequence analysis physician–patient dialogue surrounding patients’ expression of emotional cues. Two samples, sample 1 consisting of 36 cancer patient consultations conducted by four oncologists, and sample 2 consisting 79 consultations of haematology patien...

Full description

Saved in:
Bibliographic Details
Published in:Social science & medicine (1982) 2004-07, Vol.59 (1), p.145-155
Main Authors: Eide, Hilde, Quera, Vicenç, Graugaard, Peter, Finset, Arnstein
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Communication
Concerns
Dialogue
Doctor-Patient communication
Doctor-patient relationship
Doctor-Patient relationships
Ethics
Facial Expression
Female
Health
Health Services Research
Humans
Interpersonal communication
Interpersonal Relations
Male
Medical sciences
Medical sociology
Medicine
Middle Aged
Norway
Norway Doctor-patient communication Doctor-patient relationship Physician-patient communication RIAS Patient concerns
Observer Variation
Patient concerns
Patients
Physician patient relationships
Physician-Patient Relations
Physician–patient communication
Reproducibility of Results
RIAS
Social sciences
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The aim of this study was to analyse with sequence analysis physician–patient dialogue surrounding patients’ expression of emotional cues. Two samples, sample 1 consisting of 36 cancer patient consultations conducted by four oncologists, and sample 2 consisting 79 consultations of haematology patients conducted by nine specialists, were audiotaped and coded with the Roter Interaction Analysis System (RIAS). Sequence analysis by means of a generalized sequential querier (GSEQ) was applied to the coded data. Lag sequential analysis (analysed using RIAS categories) showed that certain behaviours of physicians corresponded with patients’ expressions of concern. Physicians in both samples used silence and minimal encouragers before patient concern. The oncologists also used optimistic and affirming responses. The most common physician responses to patients’ concern were minimal encouragers or affirming and optimistic responses. Sequence analysis based on RIAS coding appears to be a promising method for the study of doctor–patient dialogue and should be utilized more in studies of the communication process in medical consultations.
ISSN:0277-9536
1873-5347
DOI:10.1016/j.socscimed.2003.10.011