Ludwig Boltzmann Institute Health Promotion Research, Rooseveltplatz 2, 1090 Vienna, Austria.
Patient Educ Couns. 2011 Mar;82(3):429-41. doi: 10.1016/j.pec.2011.01.022. Epub 2011 Feb 4.
There is a broad range qualitative linguistic research (sequential analysis) on doctor-patient interaction that had only a marginal impact on clinical research and practice. At least in parts this is due to the lack of qualitative research synthesis in the field. Available research summaries are not systematic in their methodology. This paper proposes a synthesis methodology for qualitative, sequential analytic research on doctor-patient interaction.
The presented methodology is not new but specifies standard methodology of qualitative research synthesis for sequential analytic research.
This pilot review synthesizes twelve studies on German-speaking doctor-patient interactions, identifies 45 verbal actions of doctors and structures them in a systematics of eight interaction components. Three interaction components ("Listening", "Asking for information", and "Giving information") seem to be central and cover two thirds of the identified action types.
This pilot review demonstrates that sequential analytic research can be synthesized in a consistent and meaningful way, thus providing a more comprehensive and unbiased integration of research. Future synthesis of qualitative research in the area of health communication research is very much needed.
Qualitative research synthesis can support the development of quantitative research and of educational materials in medical training and patient training.
有广泛的定性语言研究（序列分析）对医患互动的影响，但对临床研究和实践的影响微乎其微。至少在一定程度上，这是由于该领域缺乏定性研究综合。现有的研究综述在方法上不是系统的。本文提出了一种用于医患互动的定性、序列分析研究的综合方法。
所提出的方法并不是新的，但为序列分析的定性研究综合规定了标准方法。
这项初步综述综合了 12 项关于德语医患互动的研究，确定了 45 种医生的言语行为，并将其结构化为 8 个互动组件的系统。三个互动组件（“倾听”、“询问信息”和“提供信息”）似乎是核心的，涵盖了三分之二的已确定的行为类型。
这项初步综述表明，序列分析研究可以以一致和有意义的方式进行综合，从而更全面、更客观地整合研究。非常需要对卫生交流研究领域的定性研究进行进一步的综合。
定性研究综合可以支持医学培训和患者培训中定量研究和教育材料的发展。
