Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, The Netherlands.
Disabil Rehabil. 2011;33(13-14):1157-68. doi: 10.3109/09638288.2010.524269. Epub 2010 Oct 19.
Knowledge about the determinants of communication behaviour of physicians during face-to-face consultations with patients might increase our understanding of communication behaviour, and provide insight into how training might be able to change their communication behaviour. For physicians who conduct work disability assessment interviews, referred to as 'social insurance physicians', communication with patients is their most important instrument. Therefore, the aim of this study was to understand the determinants of communication behaviour of social insurance physicians, by modelling the following constructs of the Theory of Planned Behaviour: attitudes, social influence, self-efficacy, skills, barriers and intentions concerning their communication with claimants in medical disability assessments.
Cross-sectional data were collected by means of questionnaires. Analyses were performed with the LISREL maximum likelihood estimation procedure.
The results showed a well-fitting model in which attitudes had a significant and substantial direct effect on two intentions. Self-efficacy had a significant, but smaller direct effect on one intention.
Empirical support was found for a model that describes intentions of social insurance physicians, especially intentions to give information and to consider personal aspects. Attitudes were the main determinants of physicians' intentions and therefore these may be a promising focus of communication skills training.
了解医生在与患者面对面交流时的沟通行为决定因素，可能会增加我们对沟通行为的理解，并深入了解培训如何能够改变他们的沟通行为。对于进行工作能力丧失评估面谈的医生，即“社会保险医生”来说，与患者的沟通是他们最重要的手段。因此，本研究的目的是通过构建计划行为理论的以下构念，来理解社会保险医生沟通行为的决定因素：在医疗残疾评估中与索赔人沟通时，他们对态度、社会影响、自我效能、技能、障碍和意图的看法。
通过问卷收集横截面数据。采用 LISREL 最大似然估计程序进行分析。
结果显示，模型拟合度良好，其中态度对两个意图具有显著且实质性的直接影响。自我效能对一个意图有显著但较小的直接影响。
该模型对社会保险医生的意图进行了描述，尤其是提供信息和考虑个人方面的意图，得到了实证支持。态度是医生意图的主要决定因素，因此，这些因素可能是沟通技巧培训的一个有前途的重点。
