Patient Information-Seeking Behaviors When Communicating With Doctors

In order to better understand patient differences in question asking and other information-seeking behaviors when communicating with doctors, 106 rehabilitation medicine patients were studied. Sociodemographic data, attitude measures, interview data and tape recordings of doctor-patient encounters revealed that patients desired information about a wide range of medical topics but did not engage in many information-seeking behaviors when communicating with doctors. While desiring information, patients regarded doctors as the appropriate persons to make medical decisions. Regression analyses indicated that patient information-seeking behaviors were more directly associated with situational variables (length of interaction, diagnosis, reason for visit) than with patient attitudes or sociodemographic characteristics. Patient attitudes influenced patient information-seeking behaviors only for patients with interactions lasting at least 19 minutes, indicating that a longer interaction may be necessary for patient attitudes regarding desire for information and participation in medical decisions to manifest themselves in information-seeking communication behavior.

[1]  T. Szasz,et al.  A contribution to the philosophy of medicine; the basic models of the doctor-patient relationship. , 1956, A.M.A. archives of internal medicine.

[2]  B. Korsch,et al.  Gaps in doctor-patient communication. 1. Doctor-patient interaction and patient satisfaction. , 1968, Pediatrics.

[3]  B. Korsch,et al.  Gaps in doctor-patient communication. Patients' response to medical advice. , 1969, The New England journal of medicine.

[4]  B. Korsch,et al.  Doctor-patient communication. , 1972, Scientific American.

[5]  M. Haug,et al.  The erosion of professional authority: a cross-cultural inquiry in the case of the physician. , 1976, The Milbank Memorial Fund quarterly. Health and society.

[6]  D. Roter Patient Participation in the Patient-Provider Interaction: The Effects of Patient Question Asking on the Quality of Interaction, Satisfaction and Compliance* , 1977, Health education monographs.

[7]  M. Haug,et al.  Method of payment for medical care and public attitudes toward physician authority. , 1978, Journal of health and social behavior.

[8]  D. Gibson,et al.  The informative process in private medical consultations: a preliminary investigation. , 1978, Social science & medicine.

[9]  M. Haug,et al.  Public Challenge of Physician Authority , 1979, Medical care.

[10]  M. Haug Doctor patient relationships and the older patient. , 1979, Journal of gerontology.

[11]  A. Barsky,et al.  Evaluating the interview inprimary care medicine , 1980 .

[12]  D A Pendleton,et al.  The communication of medical information in general practice consultations as a function of patients' social class. , 1980, Social science & medicine. Medical psychology & medical sociology.

[13]  M. Haug,et al.  Practitioner or patient--who's in charge? , 1981, Journal of health and social behavior.

[14]  M Lipkin,et al.  The medical interview: a core curriculum for residencies in internal medicine. , 1984, Annals of internal medicine.

[15]  Howard Waitzkin,et al.  Consumerism in medicine : challenging physician authority , 1985 .

[16]  R. Coe,et al.  The formation of coalitions: interaction strategies in triads , 1985 .

[17]  R. Adelman,et al.  The physician-elderly patient-companion triad in the medical encounter: the development of a conceptual framework and research agenda. , 1987, The Gerontologist.

[18]  A. Beisecker,et al.  Aging and the desire for information and input in medical decisions: patient consumerism in medical encounters. , 1988, The Gerontologist.