Thierer T E, Handelman S L, Black P M
Eastman Department of Dentistry, University of Rochester, NY, USA.
Spec Care Dentist. 2001;21(1):21-6. doi: 10.1111/j.1754-4505.2001.tb00219.x.
The current study was designed to assess the relationship between dentists' communication behavior and their perception of patient attributes such as likeability, manageability, and prognosis. Six AEGD residents were videotaped, and their verbal and nonverbal communication behavior was analyzed in the manner described. Each resident was administered a 20-item questionnaire to determine his/her perception of patient attributes. For overall dentist nonverbal behavior, perception of the patient and the amount of recognized interruptions that the dentist allowed were significantly correlated (r = 0.28, p < 0.05). When the three dentist perception subcategories--Likeability, Manageability, and Prognosis--were analyzed, verbal and nonverbal communication leads were significantly correlated with the dentists' perceptions of patient attributes in each. The hypothesis of a relationship between patient communication behavior and the dentists' perceptions of patient attributes was supported. The results suggest that dentists alter their communication behavior depending on their assessment of various patient qualities. Whether training in interviewing techniques and communication behavior would have an effect on this process is unknown and should be addressed.
本研究旨在评估牙医的沟通行为与他们对患者诸如亲和力、可控性和预后等属性的认知之间的关系。对六名高级教育普通牙科住院医师进行了录像，并按照描述的方式分析了他们的言语和非言语沟通行为。每位住院医师都接受了一份包含20个条目的问卷，以确定其对患者属性的认知。对于牙医的整体非言语行为，对患者的认知与牙医允许的可识别打断次数显著相关（r = 0.28，p < 0.05）。当对牙医认知的三个子类别——亲和力、可控性和预后——进行分析时，言语和非言语沟通线索与牙医对每个患者属性的认知显著相关。患者沟通行为与牙医对患者属性的认知之间存在关系这一假设得到了支持。结果表明，牙医会根据他们对各种患者特质的评估来改变其沟通行为。目前尚不清楚面试技巧和沟通行为方面的培训是否会对这一过程产生影响，这一问题应该得到探讨。
