Pediatrician-parent communication in a continuity-of-care setting.

Abstract:

:This study investigated pediatrician-parent communication by content, analyzing medical encounters in a setting providing continuity of care. Thirty-eight encounters between middle class families and three senior pediatricians were audio-taped, transcribed, and analyzed for content. The categories of medical communication coded from the interactions were related to each family's medical and demographic characteristics. Five patterns of results emerged: (1) There was a highly stylizied active-passive role relationship, with doctors asking twice as many questions and making twice as many commands as the parent did. (2) A strong reciprocity norm existed between pediatricians and parents for the communication of affect. (3) The higher the experience, income, and educational levels of the parents, the shorter the encounters were, the less frequently symptoms were discussed, and the more frequently medication and professional treatment were mentioned. (4) Parents discussed health more in terms of organicity of causes than did pediatricians who, more frequently, raised environmental factors. (5) The more the family had a history of past illnesses, the more frequently the doctors made affect comments during the encounters. Comparing the results to findings drawn from an emergency clinic documented the importance of sustained relationships between practitioners and patients.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Arntson PH,Philipsborn HF

doi

10.1177/000992288202100507

subject

Has Abstract

pub_date

1982-05-01 00:00:00

pages

302-7

issue

5

eissn

0009-9228

issn

1938-2707

journal_volume

21

pub_type

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