Skip to main content
Article thumbnail
Location of Repository

Is the communicative behavior of GPs during the consultation related to the diagnosis? A cross-sectional study in six European countries

By M. Deveugele, A. Derese, D. de Bacquer, A. van den Brink-Muinen, J. Bensing and J. de Maeseneer

Abstract

This study explores the relation between the diagnosis made by the general practitioner (GP) and his or her communicative behavior\ud within a consultation, by means of the analysis of 2095 videotaped consultations of 168 GPs from six countries participating in the Eurocommunication study. The doctors’ diagnoses were coded into ICPC chapters and merged into seven clinically relevant diagnostic clusters. The communicative behavior was gauged by means of the Roter interaction analysis system (RIAS).We found the most important differences for consultations about psychosocial problems as compared to all other diagnostic categories. In these consultations, doctors show more affective behavior, are more concerned about having a good relationship with their patients, ask more questions and give\ud less information than in other consultations. The percentages of utterances in the other diagnostic categories were pretty similar. The communicative behavior of doctors reflects a global pattern in every consultation. This pattern is the most stable for affective behavior (social talk, agreement, rapport building and facilitation). Within instrumental behavior (the other categories), the directions and the information the doctor gives are adapted to the problems presented

Topics: Sociale Wetenschappen, Communication, General practice, Diagnosis
Year: 2004
OAI identifier: oai:dspace.library.uu.nl:1874/21942
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • http://dspace.library.uu.nl:80... (external link)
  • Suggested articles


    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.