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医生沟通方式对医生评价和信息处理的影响:一项关于宫内节育器避孕的模拟视频咨询的随机研究。

The impact of physicians' communication styles on evaluation of physicians and information processing: A randomized study with simulated video consultations on contraception with an intrauterine device.

机构信息

Leibniz-Institut fuer Wissensmedien, Tuebingen, Germany.

Department of Psychology, University of Tuebingen, Tuebingen, Germany.

出版信息

Health Expect. 2017 Oct;20(5):845-851. doi: 10.1111/hex.12521. Epub 2016 Nov 18.

Abstract

OBJECTIVE

This study aimed at examining the impact of different types of physicians' communication styles on people's subsequent evaluation of physician attributes as well as on their information processing, attitude and decision making.

METHOD

In a between-group experiment, 80 participants watched one of three videos in which a gynaecologist displayed a particular communication style in a consultation situation on contraception with an intrauterine device. We compared doctor-centred communication (DCC) vs patient-centred communication (PCC) vs patient-centred communication with need-orientation (PCC-N).

RESULTS

In the PCC condition, participants perceived the physician to be more empathetic and more competent than in the DCC condition. In the DCC condition, participants showed less attitude change compared to the other conditions. In the PCC-N condition, the physician was perceived as more empathetic and more socially competent than in the other conditions. However, participants acquired less knowledge in the PCC-N condition.

CONCLUSION

We conclude that appropriate application of particular communication styles depends on specific consultation goals. Our results suggest that patients' needs should be addressed if the main goal is to build a good relationship, whereas a traditional PCC style appears to be more effective in communicating factual information.

摘要

目的

本研究旨在考察不同类型医生沟通方式对人们后续评价医生特征、信息处理、态度和决策的影响。

方法

在一项组间实验中,80 名参与者观看了三个视频中的一个,视频中一位妇科医生在避孕咨询中展示了特定的沟通方式,包括以医生为中心的沟通(DCC)、以患者为中心的沟通(PCC)和以患者为中心的需求导向沟通(PCC-N)。

结果

在 PCC 条件下,参与者认为医生更有同理心和更有能力,而在 DCC 条件下则不然。在 DCC 条件下,与其他条件相比,参与者的态度变化较小。在 PCC-N 条件下,医生被认为比其他条件更有同理心和更具有社交能力。然而,参与者在 PCC-N 条件下获得的知识较少。

结论

我们的结论是,特定沟通方式的适当应用取决于具体的咨询目标。如果主要目标是建立良好的关系,那么应该满足患者的需求,而传统的 PCC 风格在传达事实信息方面似乎更有效。

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