Li Han Z, Krysko Michael, Desroches Naghmeh G, Deagle George
Dept. of Psychology, College of Arts, Social and Health Sciences, University of Northern British Columbia, Prince George, BC, Canada.
Commun Med. 2004;1(2):145-57. doi: 10.1515/come.2004.1.2.145.
Results of past research on physician-patient interruption present an inconclusive picture. This study reconceptualizes interruption into cooperative and intrusive categories. Thirty physician-patient interviews, 13 male/male and 17 male/female, were audiotaped and microanalyzed. It was found that physicians did not interrupt patients more or vice versa. Rather, physicians and patients interrupted differently, the former more intrusively and the latter, more cooperatively. Furthermore, physicians did not dominate speaking turns nor speak more words than patients, as previously believed. We argue that their difference may not be measured by the number of words or speaking turns because it is embedded in their respective communication style. It was also found that female patients exhibited eleven times as much cooperative interruptions as did male patients. When physicians interrupted patients, they were unsuccessful only 6% of the time. When patients interrupted physicians, they were unsuccessful 32% of the time. The results of this study point out the necessity to reconceptualize interruptions in physician-patient interviews.
过去关于医患打断的研究结果呈现出一幅尚无定论的图景。本研究将打断重新概念化为合作性打断和侵入性打断两类。对30次医患访谈进行了录音和微观分析，其中13次是男性/男性组合，17次是男性/女性组合。研究发现，医生打断患者的次数并不更多，反之亦然。相反，医生和患者的打断方式不同，前者更具侵入性，后者更具合作性。此外，医生并不主导谈话轮次，也没有比患者说更多的话，这与之前的看法不同。我们认为，他们的差异可能无法通过话语数量或谈话轮次来衡量，因为这体现在他们各自的沟通风格中。研究还发现，女性患者的合作性打断次数是男性患者的11倍。当医生打断患者时，他们只有6%的情况下不成功。当患者打断医生时，他们有32%的情况下不成功。本研究结果指出了重新概念化医患访谈中打断行为的必要性。
