Byrne P S, Heath C C
J R Coll Gen Pract. 1980 Jun;30(215):327-31.
Our analysis of real consultations in general practice suggests that eye contact and movements of the body are extremely important in effecting communication between patients and doctors. We have studied non-verbal behaviour in relation to verbal exchanges, and believe that non-verbal behaviour can aid or hinder communication and may sometimes prevent it.We give examples from general practice consultations and conclude that eye contact and posture are particularly significant when coupled with open questions or silences or when they occur at points in the consultation when the patient has reached a crucial part in disclosure.We also believe that the doctor's use of medical records during consultations is most important, and we give examples.We suggest that the non-verbal behaviour of doctors in the general practice consultation is a topic of immense importance and needs much further study.
我们对普通科实际诊疗过程的分析表明，眼神交流和身体动作在医患沟通中极为重要。我们研究了与言语交流相关的非言语行为，认为非言语行为可能促进或阻碍沟通，有时甚至会导致沟通中断。我们列举了普通科诊疗过程中的实例，并得出结论：当眼神交流和姿势与开放式问题、沉默相结合，或者出现在诊疗过程中患者披露关键信息的节点时，它们尤为重要。我们还认为医生在诊疗过程中使用病历非常重要，并给出了相关示例。我们建议，普通科诊疗中医生的非言语行为是一个极其重要的课题，需要进一步深入研究。
