Doctors’ Comunication Style: Impact on Patients Participation

Authors

  • Nurul Nadia Haron Language Academy, University Teknologi Malaysia, 81310 UTM Johor Bahru, Johor, Malaysia
  • Noor Aireen Ibrahim Language Academy, University Teknologi Malaysia, 81310 UTM Johor Bahru, Johor, Malaysia

DOI:

https://doi.org/10.11113/jt.v65.2353

Keywords:

Doctor communication style, sharing style, directing style, patient participation, health communication

Abstract

This paper presents the findings of a study on doctors’ communication style and its implications on patients’ participation. The data for this study were gathered from audio recording of ten clinical consultations and interview with a doctor at the Hematology Clinic in a General Hospital in Malaysia. The data were transcribed and analysed based on the three components of patients’ participation proposed by Cegala (2011). Findings indicate doctors display two different styles of communication during the clinical consultations. Further investigation reveal that the sharing style consultation does indeed encourage more patients’ participation than the Directing style. The findings of this study have important implications for communication training for medical students. The paper concludes with a discussion of the directions for future studies.

References

Ainsworth-Vaughn,N. 2003. Discourse of Medical Interactions in Schiffrin, D., Tannen, D., and Hamilton, H. E (eds). A Handbook of Discourse Analysis. Madlen: Blackwell Publishing. 453–469.

Ashton, C. M. et al. 2003. Racial and Ethnic Disparities in the Use of Health Services: Bias, Preferences, or Poor Communication? J Gen Intern Med. 18: 146–152.

Blank, T., Graves, K., Sepucha, K., & Llewellyn-Thomas, H. 2006. Understanding Treatment Decision Making: Contexts, Commonalities, Complexities, and Challenges. Annals of Behavioral Medicine. 32(3): 211–217.

Brown, J. B , Weston, W, W., Stewart, M. A. 1989. Patient-centered Interviewing: Part II. Finding Common Ground. Canadian Family Physician. 35:153–57.

Cegala, D. J. 2011. An Exploration of Factors Promoting Patient Participation in Primary Care Medical Interviews. Health Communication. 26(5).

Ishikawa, H., Takayama T., Yamazaki Y., Seki Y., Katsumata N. 2002. Physician-patient Communication and Patient Satisfaction in Japanese Cancer Consultations. Social Science & Medicine. 55(2): 301–311.

Kleinman, A, Eisenberg L, Good B. 1978. Culture, Illness, and Care: Clinical Lessons from Anthropologic and Cross-Cultural Research. Ann Intern Med. 88(2): 251–8.

Margolis, M. I. et al. 2003. Racial Differences Pertaining to a Belief About Lung Cancer Surgery: Results of a Multicentre Survey. Ann Intern Med. 139: 558–563.

Miller, J. S., Gabrielsen, T., Villalobos, M., Alleman, R., Wahmhoff, N., Carbone, P. S. et al. 2011. The Each Child Study: Systematic Screening for Autism Spectrum Disorders in a Pediatric Setting. Pediatrics. 127(5): 866–871.

Mishler, EG. 1984. The Discourse of Medicine: Dialectics of Medical Interviews. Ablex: Norwood.

Nurul Nadia Haron and Noor Aireen Ibrahim. 2012. Patients Preference for Doctors: Perception of Patients at Hematology Clinic. Procedia-Social and Behavioral Sciences. 66: 187–195.

Parsons, T. 1975. The Sick Role and the Role of Physician Reconsidered, Milbank Memorial Fund Quarterly. 53: 257–278.

Roberts, C. and Sarangi, S. 2005. Theme-oriented Discourse Analysis of Medical Interactions. Medical Education. 39: 632–640.

Roter, D. L., Hall, J. A. & Katz, N. R. 1987. Relations Between Physicians’ Behaviours and Analogue Patients’ Satisfaction, Recall and Impressions. Med. Care. 25: 437–451.

Ryan, J. and Sysko, J. 2007. The Contingency of Patient Preferences for Involvement in Health Decision Making. Health Care Manage Rev. 32: 30–36.

Sarangi, S. and Roberts, C. 1999. Talk, Work and Institutional Order: Discourse in Medical, Mediation and Management Settings. Berlin: Mouton de Gruyter.

Sarangi, S. 2010. Practicing Discourse Analysis in Healthcare Setting. In Bourgeault, I., DeVries, R., and Dingwall, R., (eds.). Qualitative Methods in Health Research. London: Sage.

Silverman, D. 1987. Coercive Interpretation in the Clinic: The Social Constitution of the Down’s Syndrome Child. Communication and Medical Practice: Social Relations in the Clinic, London: Sage. 136–175.

Stewart, M. A. 1995. Effective Physician-Patient Communication and Health Outcomes: A Review. Canadian Medical Association Journal. 152(9): 1423–33.

Street, R. L. 1992. Communicative Styles and Adaptations in Physician-Patient Consultations. Social Science and Medicine. 34: 1155–1163.

Street, R. L., Ashton, C. M., Haidet, P., Paterniti, D. A., Collins, T. C., Gordon, H. S. and O'Malley, K. 2003. Racial and Ethnic Disparaties in the Use of Health Services: Bias, Preferences, or Poor Communication? Journal of General Internal Medicine. 18(2): 146–152.

Takayama, T. and Yamakazi, Y. 2004. How Breast Cancer Outpatients Perceive Mutual Participation in Patient-Physician Interactions. Patient Education and Counseling. 52(3): 279–89.

Wang, Q. 2010. Doctor-Patient Communication and Patient Satisfaction: A Cross-Cultural Comparative Study between China and the U.S. PhD Dissertation: Purdue University.

Webb, H. 2009. Doctor-patient Interactions During Medical Consultations About Obesity. PhD thesis, University of Nottingham.

Williams, S., Haskard, K. and DiMatteo, M.R. 2007. The Therapeutic Effects of the Physician-Older Patient Relationship: Effective Communication With Vulnerable Older Patients. Clinical Interventions in Aging. 2(3): 453–467.

Williams, S., Weinman, J. and Dale, J. 1998. Doctor-patient Communication and Patient Satisfaction: Review. Oxford University Press. 15(5).

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Published

2013-11-15

Issue

Section

Social Sciences

How to Cite

Doctors’ Comunication Style: Impact on Patients Participation. (2013). Jurnal Teknologi (Sciences & Engineering), 65(2). https://doi.org/10.11113/jt.v65.2353