Bain D J
J Fam Pract. 1979 Apr;8(4):745-53.
Observation of a series of office visits by patients to family physicians provide information on physician-patient communication. During interaction on medical matters, the physicians instigated 80 percent of the interview. By way of contrast, when discussion of matters beyond the strictly medical situation occurred, 70 percent of the conversation was initiated by the patients. Irrespective of diagnoses, there were significant differences in the overall content of communications for patients from different socioeconomic groups, with more verbal exchange occurring with upper social class patients than with lower social class patients. Other patient factors which led to an increase in verbal interaction were chronic illness, emotional disorders, and ill-defined conditions. The analysis of categories of verbal interaction between physicians and patients proved to be a practical method of studying the physician-patient relationship, and provided guidelines for those seeking to make objective measurements of communication in family practice.
观察患者对家庭医生的一系列门诊就诊情况可提供医患沟通方面的信息。在就医疗问题进行互动时，医生发起了80%的问诊。相比之下，当讨论严格医疗情况之外的事情时，70%的对话由患者发起。无论诊断如何，不同社会经济群体患者沟通的整体内容存在显著差异，与社会上层患者的言语交流多于社会下层患者。导致言语互动增加的其他患者因素包括慢性病、情绪障碍和病情不明的情况。对医患之间言语互动类别进行分析被证明是研究医患关系的一种实用方法，并为那些试图对家庭医疗中的沟通进行客观测量的人提供了指导方针。
