Components of Patients' and Doctors' Perceptions of Communication Competence During a Primary Care Medical Interview

Although considerable attention has been given to doctor-patient communica- tion, relatively little research on this topic is grounded in theory. Some scholars have suggested that the concept of communication competence may serve as a useful theoretical framework for future research into doctor-patient communication. The purpose of this article was to identify components of doctors' and patients' communicative competence during a primary care medical interview. Doctors and patients were asked to rate self- and other-competence and to identify what particular behaviors led them to their judgments. The behavior descriptions were content analyzed to determine the components of competence assessments. The results suggest that information exchange and relational development comprise most of the behaviors doctors and patients identify with judgments of communication competence. However, additional data indicate that information exchange concerns are dominant on the part of both doctors' and patients' perception...

[1]  R. Bostrom Competence in Communication: A Multidisciplinary Approach , 1984 .

[2]  R. Street Physicians' communication and parents' evaluations of pediatric consultations. , 1991, Medical care.

[3]  A. Todd,et al.  The prescription of contraception: Negotiations between doctors and patients , 1984 .

[4]  D. Cegala,et al.  A Study of Doctors' and Patients' Perceptions of Information Processing and Communication Competence During the Medical Interview , 1995 .

[5]  D. Roter,et al.  Physician Satisfaction With Primary Care Office Visits , 1993 .

[6]  D. Roter,et al.  Health education theory: an application to the process of patient-provider communication. , 1991, Health education research.

[7]  Gary L. Kreps Relational communication in health care , 1988 .

[8]  Brian H. Spitzberg,et al.  Interpersonal Communication Competence , 1984 .

[9]  John M. Wiemann,et al.  EXPLICATION AND TEST OF A MODEL OF COMMUNICATIVE COMPETENCE , 1977 .

[10]  H. Waitzkin Information giving in medical care. , 1985, Journal of health and social behavior.

[11]  W. Stiles The process‐outcome correlation problem and the uses of verbal interaction process coding , 1993 .

[12]  J. Wiemann,et al.  Current Theory and Research In Communicative Competence , 1980 .

[13]  J. Medalie,et al.  Patient perceptions of humanism in physicians: effects on positive health behaviors. , 1990, Family medicine.

[14]  A. Beisecker,et al.  Patient Information-Seeking Behaviors When Communicating With Doctors , 1990, Medical care.

[15]  R C Smith,et al.  The patient's story: integrating the patient- and physician-centered approaches to interviewing. , 1991, Annals of internal medicine.

[16]  Judith A. Hall,et al.  Patient-physician communication: A descriptive summary of the literature , 1988 .

[17]  B. Morse,et al.  An assessment of communication competencies needed by intermediate‐level health care providers: A study of nurse‐patient, nurse‐doctor, nurse‐nurse communication relationships , 1981 .

[18]  D. Buller,et al.  The role of perceived affect and information in patients’ evaluations of health care and compliance decisions , 1991 .

[19]  Vincent R. Waldron,et al.  A study of the relationship between communicative performance and conversation participants’ thoughts , 1992 .

[20]  Z. Ben-Sira,et al.  Affective and instrumental components in the physician-patient relationship: an additional dimension of interaction theory. , 1980, Journal of health and social behavior.

[21]  A. Beisecker,et al.  Patient Power in Doctor-Patient Communication: What Do We Know? , 1990 .

[22]  R. Street,et al.  Information-giving in medical consultations: the influence of patients' communicative styles and personal characteristics. , 1991, Social science & medicine.

[23]  D. Tuckett,et al.  Approaches to the measurement of explanation and information-giving in medical consultations: a review of empirical studies. , 1984, Social science & medicine.

[24]  H. Waitzkin,et al.  Doctor-patient communication. Clinical implications of social scientific research. , 1984, JAMA.

[25]  R. McFall A review and reformulation of the concept of social skills. , 1982 .

[26]  Vincent R. Waldron,et al.  Assessing Conversational Cognition Levels of Cognitive Theory and Associated Methodological Requirements , 1992 .

[27]  O. Holsti Content Analysis for the Social Sciences and Humanities , 1969 .

[28]  C. Kasch Interpersonal competence and communication in the delivery of nursing care , 1984, ANS. Advances in nursing science.