Systematic analysis of clinician-patient interactions

A critique of recent approaches with suggestions for future research

Richard C. Wasserman, Thomas Inui

Research output: Contribution to journalArticle

95 Citations (Scopus)

Abstract

Clinician-patient interactions are an important, but poorly understood, feature of our personal health care system. Attributes of these interactions have been shown to affect the health care process and appear as well to be amenable to change, furnishing a rationale for their study. Communications theory provides useful guidelines for systematic analysis. Systems of interaction analysis should take account of information transfer occurring on different levels through a variety of behaviors, incorporate interaction context and sequence into categorization schemes, deal with the unique characteristics of clinical encounters, and lend themselves to clinical teaching. Application of these guidelines to three representative systems (Bales’ Interaction Process Analysis, Stiles’ Verbal Response Modes, and Katz’s Resource Exchange Analysis) illustrates diverse strengths and weaknesses. Future research on clinician-patient interactions should include the development of new analysis systems, a broader research time frame, increased emphasis on antecedents of interactions, and implementation of controlled trials.

Original languageEnglish (US)
Pages (from-to)279-293
Number of pages15
JournalMedical Care
Volume21
Issue number3
StatePublished - 1983
Externally publishedYes

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Guidelines
Delivery of Health Care
interaction
Teaching
Communication
system of action
interaction behavior
health care
communication theory
Research
process analysis
systems analysis
resources

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Systematic analysis of clinician-patient interactions : A critique of recent approaches with suggestions for future research. / Wasserman, Richard C.; Inui, Thomas.

In: Medical Care, Vol. 21, No. 3, 1983, p. 279-293.

Research output: Contribution to journalArticle

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