This document discusses doctor-patient communication and interactions. It provides an overview of some of the most cited authors on this topic, including DiMatteo, Hall, Kaplan, and Roter. It describes the Roter Interaction Analysis System (RIAS), a method for coding doctor-patient interactions. The document also lists some of the most cited journals on this subject and discusses lay information mediaries, models of mediary behavior, and methods used to study doctor-patient communication such as observational scales.
85. Nearly all the participants had positive opinions about the public library. 38% thought it was likely that the library would have the health information that could help them. And 60% thought it was very likely.
-- Evidence that men and women are treated differently in everyday conversation
Deborah Roter (John Hopkins University) & Judith Hall (Northeastern University)Individually, they have published extensively on different communicative roles of gender, and also collaborated on research together. Studies on gynecology and OBGYNs- 1 reported study higher but non significant levels of psychosocial behavior from male doctors to female patients.
Scrubs– miscommunication between doctor and patient.Racist doctor? http://www.youtube.com/watch?v=K_ydNGDR-SM-- STAR TREK
Previous research indicates that physicians expect themselves to not be affected by race or demographicsThe doctors in this study 84% were white, 11% Asian, 1% African American, and 3% HispanicPoint 1: Also perceived African-Americans and members of low/middle class groups more negatively than whites and higher SES. Point 2: Physicians attitudes towards patients is important because of their impact on the patient’s satisfaction and behavior. If a patient feels that the doctor cares about them and is interested in them as a person, they’re more likely to
Information PovertyGordon– study on cancer patients, specifically looking at the racial issues and lung cancerDeclined elective surgery because they believed that when cancer was exposed to air, it would cause the cancer to spread.- Patients more cautious due to less favorable attitudes from doctors- less likely to engage, ask questions, SensemakingChilean study, patients claimed that being touched was a reason why the care they received was good. (Ong, L.M.L 1995)Not so in the U.S.
School of Information and Library Science faculty @ UNC Chapel Hill ClaudiaGollop’s study looked at a very specific slice of a population in Pittsburgh– They considered their medical doctor to be the best and most reliable source
But… they also held the library in high regard,
#4: “Top down information transmission has ignored the realities of lay person’s lives […] it blames the victims and is received as irrelevant at best and prejudicial and oppressive at worse.#5 The information environment marked by decreasing trust in expert and institutional sources