Communication profiles of psychiatric residents and attending physicians in medication-management appointments: a quantitative pilot study.
Acad Psychiatry
; 36(2): 96-103, 2012 Mar 01.
Article
em En
| MEDLINE
| ID: mdl-22532197
ABSTRACT
OBJECTIVE:
The authors quantitatively examined differences in psychiatric residents' and attending physicians' communication profiles and voice tones.METHODS:
Audiotaped recordings of 49 resident-patient and 35 attending-patient medication-management appointments at four ambulatory sites were analyzed with the Roter Interaction Analysis System (RIAS). Nonparametric tests were used to compare differences in proportions of speech devoted to relationship-building, activating, and partnering in decision-making processes, and data-gathering/counseling/patient education. Differences in affect expressed by psychiatrists' voice tones were also examined.RESULTS:
Residents' visits were twice as long as Attendings' visits (28.2 versus 14.1 minutes), and residents devoted a significantly greater proportion of their talk to relationship-building (23% versus 20%) and activating/partnering (36% versus 28%) aspects of communication, whereas Attendings devoted a greater proportion to biomedically-related data-gathering/counseling/patient education (31% versus 20%). Analysis of voice tones revealed that residents were perceived as sounding significantly friendlier and more sympathetic, versus Attendings, who were rated as sounding more dominant and rushed.CONCLUSION:
These findings show distinct communication profiles and voice-tone differences. Future psychiatric communication research should address the influence of appointment length, psychiatrist/patient characteristics, and other potential confounders on psychiatrist-patient communication.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Relações Médico-Paciente
/
Médicos
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Psiquiatria
/
Voz
/
Comunicação
/
Internato e Residência
Tipo de estudo:
Prognostic_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Acad Psychiatry
Ano de publicação:
2012
Tipo de documento:
Article