Evidence Based Medicine and Narrative Based Medicine in Patient-Physician Communication: an Approach Using Roter Interaction Analysis System
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Accession number;07A0195150
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| Title;Evidence Based Medicine and Narrative Based Medicine in Patient-Physician Communication: an Approach Using Roter Interaction Analysis System |
| Author;
ISHIKAWA HIRONO
(Teikyo Univ., Fac. Medicine, JPN)
NAKAO MUTSUHIRO
(Teikyo Univ., Hospital)
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Journal Title;Japanese Journal of Psychosomatic Medicine
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Journal Code:Z0162B
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ISSN:0385-0307
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VOL.47;NO.3;PAGE.201-211(2007)
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| Figure&Table&Reference;TBL.4, REF.36 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Communication between patient and physician has received special attention as a major component of medical encounters and a key to patient satisfaction and adherence. Various concepts and models developed in western countries have been introduced to Japan, including informed consent, decision-making, patient autonomy and patient-centered care. However, many aspects of social andcultural life relevant to patient-physician relationships differ between Western and Asian countries. Still, there have been few Japanese studies assessing the patient-physician communication quantitatively, although several qualitative studies focused on the interpretation of patient's narratives. Thus it is important to study the patient-physician communication using a standardized method in Japan. The purpose of this study is to describe characteristics of patient-physician communication in Japanese cancer consultations using the Roter Interaction Analysis System (RIAS), one of the most frequently used systems for the quantitative analysis of patient-physician communication, and to examine the relation of this communication with patient satisfaction. One hundred and forty cancer outpatients and twelve physicians were included. For our analysis, we combined the RIAS categories to make 12 clusters as follows; open-ended question, closed-ended question, information giving, direction, emotional expression (patient), emotional responsiveness (doctor), facilitation, positive talk, negative talk, orientation, requests for service, and social talk. Resultantly, a major part of the interaction concerned information-giving on both parts of physician and patient; this consisted of 35% and 34% of their communication, respectively. In contrast, some categories showed striking differences between physician and patient.... (author abst.) |
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