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Interaction exchange structure and patient satisfaction with medical interviews.

Publication ,  Journal Article
Stiles, WB; Putnam, SM; Wolf, MH; James, SA
Published in: Medical care
June 1979

The verbal interaction between patients and physicians in 52 initial interviews in a university hospital screening clinic was studied using a new discourse coding system. Factor analysis of category frequencies showed that each interview segment, medical history, physical examination, and conclusion, consisted mainly of two or three types of verbal exchange. Patient satisfaction with the interviews, assessed with a questionnaire that yields separate scores for satisfaction with cognitive and affective aspects, was found to be associated with exchanges involving the transmission of information in particular interview segments. Affective satisfaction was associated with transmission of information from patient to physician in "exposition" exchanges during the medical history, in which patients told their story in their own words. Cognitive satisfaction was associated with transmission of information from physician to patient in "feedback" exchanges during the conclusion segment, in which physicians gave patients information about illness and treatment.

Duke Scholars

Published In

Medical care

DOI

EISSN

1537-1948

ISSN

0025-7079

Publication Date

June 1979

Volume

17

Issue

6

Start / End Page

667 / 681

Related Subject Headings

  • Surveys and Questionnaires
  • Physician-Patient Relations
  • Outpatient Clinics, Hospital
  • North Carolina
  • Middle Aged
  • Medical History Taking
  • Male
  • Humans
  • Hospitals, University
  • Health Policy & Services
 

Citation

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Stiles, W. B., Putnam, S. M., Wolf, M. H., & James, S. A. (1979). Interaction exchange structure and patient satisfaction with medical interviews. Medical Care, 17(6), 667–681. https://doi.org/10.1097/00005650-197906000-00010
Stiles, W. B., S. M. Putnam, M. H. Wolf, and S. A. James. “Interaction exchange structure and patient satisfaction with medical interviews.Medical Care 17, no. 6 (June 1979): 667–81. https://doi.org/10.1097/00005650-197906000-00010.
Stiles WB, Putnam SM, Wolf MH, James SA. Interaction exchange structure and patient satisfaction with medical interviews. Medical care. 1979 Jun;17(6):667–81.
Stiles, W. B., et al. “Interaction exchange structure and patient satisfaction with medical interviews.Medical Care, vol. 17, no. 6, June 1979, pp. 667–81. Epmc, doi:10.1097/00005650-197906000-00010.
Stiles WB, Putnam SM, Wolf MH, James SA. Interaction exchange structure and patient satisfaction with medical interviews. Medical care. 1979 Jun;17(6):667–681.

Published In

Medical care

DOI

EISSN

1537-1948

ISSN

0025-7079

Publication Date

June 1979

Volume

17

Issue

6

Start / End Page

667 / 681

Related Subject Headings

  • Surveys and Questionnaires
  • Physician-Patient Relations
  • Outpatient Clinics, Hospital
  • North Carolina
  • Middle Aged
  • Medical History Taking
  • Male
  • Humans
  • Hospitals, University
  • Health Policy & Services