Information Giving in Medical Care
Опубликовано на портале: 23-03-2007
Journal of Health and Social Behavior.
1985.
Vol. 26.
No. 2.
P. 81-101.
Тематический раздел:
Information giving is a crucial element of medical care. This research project considered
two theoretically grounded hypotheses: (1) Doctors may withhold information and maintain
uncertainty to preserve power in the doctor-patient relationship, and (2) class-based
sociolinguistic differences in language use may create further impediments to information
giving. A multivariate research model was operationalized to study these hypotheses
and to assess other associations between information giving and the characteristics
of doctors, patients, and the clinical situations in which they interact. An analysis
of a sample of 336 encounters recorded from several outpatient settings revealed
that doctors spent little time informing their patients, overestimated the time they
did spend, and underestimated patients' desire for information. Contingency-table
analysis showed that information transmittal was associated with (1) doctors' income,
social class background, political ideology, and perceptions of patients' informative
needs; (2) patients' age, sex, social class, education, and prognosis; and (3) situational
characteristics such as the length of acquaintance, numbers of patients seen per
day, and the types of patients in the doctors' practices. Multiple regression analysis
assessed the relative importance of these variables in explaining the variation in
information transmittal. The findings did not clearly confirm a relationship among
information withholding, uncertainty, and power but did clarify the importance of
class-based sociolinguistic barriers to communication.
Ключевые слова
medical discourse medical interaction medical power uncertainty власть врача врач-пациент неопределенность язык медицины
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