Cegala Donald J, Gade Carmin, Lenzmeier Broz Stefne, McClure Leola
School of Journalism and Communication and Department of Family Medicine, The Ohio State University, Columbus, OH 43210, USA.
Health Commun. 2004;16(3):289-304. doi: 10.1207/S15327027HC1603_2.
Considerable research suggests that patients and physicians often perceive aspects of the medical interview quite differently. Despite extensive research into physician-patient communication, virtually no attention has been given to assessing patients' and physicians' perceptions of communication competence during the medical interview. The purpose of this research was to determine the extent of agreement between physicians and patients on what behaviors constitute competent patient communication. The results indicate that there is considerable agreement between physicians and patients on the categories of competent patient communication. However, there is little or no evidence for agreement at the dyadic level on the occurrence of competent patient communication. Moreover, there is little evidence that physicians' and patients' perceptions of competence correlate with patients' actual discourse. These results are discussed with respect to implications for future research on patient communication skills training interventions.
大量研究表明，患者和医生对医患面谈的各个方面往往有着截然不同的认知。尽管对医患沟通进行了广泛研究，但实际上几乎没有人关注评估患者和医生对面谈中沟通能力的认知。本研究的目的是确定医生和患者在构成有效患者沟通的行为方面的一致程度。结果表明，医生和患者在有效患者沟通的类别上有相当程度的一致。然而，几乎没有证据表明在二元层面上关于有效患者沟通的发生存在一致。此外，几乎没有证据表明医生和患者对能力的认知与患者的实际话语相关。将结合这些结果对未来患者沟通技能培训干预研究的意义进行讨论。
