Brown Tony N, Ueno Koji, Smith Carrie L, Austin Noel S, Bickman Leonard
Center for Evaluation and Program Improvement, Program in African American and Diaspora Studies, Department of Sociology, Vanderbilt University, Nashville, TN 37235-1811, USA.
Health Commun. 2007;21(3):247-56. doi: 10.1080/10410230701307717.
This study examined how pediatrician-parent social status concordance related to communication patterns in medical encounters during which children received treatment for psychosocial problems indicating attention deficit disorder or attention deficit hyperactivity disorder. Using data from 28 pediatric medical encounters occurring in a large southeastern metropolitan city during 2003, we focused on concordance according to race, gender, and education, and its relation to laughter, concern, self-disclosure, question asking, and information-giving utterances, and patient-centeredness. Results indicated that race-concordant pediatricians and parents frequently laughed, whereas parents asked many biomedical questions in gender-concordant encounters. Education-concordant pediatricians and parents expressed concern repeatedly, exchanged biomedical information freely, and shared communication control. Pediatricians also self-disclosed when interacting with college-educated parents.
本研究探讨了儿科医生与家长的社会地位一致性如何与医疗问诊中的沟通模式相关，在此类问诊中，儿童因表明患有注意力缺陷障碍或注意力缺陷多动障碍的心理社会问题而接受治疗。利用2003年在东南部一个大城市发生的28次儿科医疗问诊的数据，我们重点关注了种族、性别和教育程度方面的一致性，及其与笑声、关切、自我表露、提问和提供信息的话语以及以患者为中心的关系。结果表明，种族一致的儿科医生和家长经常发笑，而在性别一致的问诊中家长提出了许多生物医学问题。教育程度一致的儿科医生和家长反复表达关切，自由交流生物医学信息，并共享沟通控制权。儿科医生在与受过大学教育的家长互动时也会进行自我表露。
