Advertisement

Reciprocity in the Medical Encounter

  • Debra L. Roter

Abstract

Respect for the therapeutic power of the physician—patient relationship was well noted in antiquity and has been recognized in modern times. However, it is only since the mid-1960s that the actual dynamics of the therapeutic dialogue have been observed in any systematic manner. The evolution of methodological and technological sophistication has made observation and analysis easier over the years, and indeed, the number of empirical studies of physician—patient communication doubled between 1982 and 1987 to over 60 (Roter, Hall, & Katz, 1987a).

Keywords

Interpersonal Skill Voice Quality Medical Encounter Task Behavior Task Dimension 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Bales, R. F. (1950). Interaction process analysis. Reading, MA: Addison-Wesley.Google Scholar
  2. Ben-Sira, Z. (1980). Affective and instrumental components in the physician-patient relationship: An additional dimension of interaction theory. Journal of Health and Social Behavior, 21, 170–180.PubMedCrossRefGoogle Scholar
  3. Bloom, S. (1963). The doctor and his patient: A sociological interpretation. New York: Russell Sage Foundation.Google Scholar
  4. Davis, M. (1968). Variations in patients’ compliance with doctors’ advice: An empirical analysis of patterns of communication. American Journal of Public Health, 58, 274–288.PubMedCrossRefGoogle Scholar
  5. Davis, M. (1971). Variation in patients’ compliance with doctors’ orders: Medical practice and doctor-patient interaction. Psychiatry in Medicine, 2, 31–54.PubMedCrossRefGoogle Scholar
  6. Freemon, B., Negrete, V., Davis, M., & Korsch, B. (1971). Gaps in doctor patient communication. Pediatric Research, 5, 298–311.CrossRefGoogle Scholar
  7. Gouldner, A. W. (1960). The norm of reciprocity: A preliminary statement. American Sociological Review, 25, 161–179.CrossRefGoogle Scholar
  8. Hall, J. A., Roter, D. C., & Rand, C. S. (1981). Communication of affect between patient and physician. Journal of Health and Social Behavior, 22, 18–30.PubMedCrossRefGoogle Scholar
  9. Hall, J. A., Roter, D. L., & Katz, N. R. (1987). Task versus socioemotional behaviors in physicians. Medical Care, 25, 399–412.PubMedCrossRefGoogle Scholar
  10. Hall, J. A., Roter, D. L., & Katz, N. R. (1988). Meta-analysis of correlates of provider behavior in medical encounters. Medical Care, 26.Google Scholar
  11. Haug, M. R., & Lavin, B. (1981). Practitioner or patient—Who’s in charge? Journal of Health and Social Behavior, 22, 212–229.PubMedCrossRefGoogle Scholar
  12. Inui, T. S., & Carter, W. B. (1985). Problems and prospects for health services research on provider-patient communication. Medical Care, 23, 521–538.PubMedCrossRefGoogle Scholar
  13. Inui, T. S., Carter, W. B., Kukull, W. A., & Haigh, V. H. (1982). Outcome-based doctor-patient interaction analysis: I. Comparison of techniques. Medical Care, 20, 535–549.PubMedCrossRefGoogle Scholar
  14. Mumford, E., Schlesinger, H., & Glass, G. (1982). The effects of psychological intervention on recovery from surgery and heart attacks: An analysis of the literature. American Journal of Public Health, 72, 141–151.PubMedCrossRefGoogle Scholar
  15. Parsons, T. (1951). The social system. Glencoe, IL: Free Press.Google Scholar
  16. Pendleton, D. (1983). Doctor-patient communication: A review. In D. Pendleton & J. Hasler (Eds.), Doctor-patient communication (pp. 5–53). New York: Academic Press.Google Scholar
  17. Putnam, S., Stiles, W., Jacob, M., & James, S. (1985). Patient exposition and physician explanation in initial medical interviews and outcomes of clinical visits. Medical Care, 23, 74–82.PubMedCrossRefGoogle Scholar
  18. Rosenthal, R. (1984). Meta-analytic procedures for social research. Beverly Hills: Sage.Google Scholar
  19. Roter, D. L. (1977). Patient participation in the patient-provider interaction. Health Education Monographs, 5, 281–315.PubMedCrossRefGoogle Scholar
  20. Roter, D. L., Hall, J. A., & Katz, N. R. (1987a). Doctor-patient communication: A descriptive summary of the literature. Unpublished manuscript.Google Scholar
  21. Roter, D. L., Hall, J. A., & Katz, N. R. (1987b). Relations of physicians’ task and socioemotional behaviors to analogue patients’ satisfaction, recall, and impressions. Medical Care, 25, 437–451.PubMedCrossRefGoogle Scholar
  22. Stiles, W., Putnam, S., Wolf, M., & James, S. (1979). Interaction exchange structure and patient satisfaction with medical interviews. Medical Care, 17, 667–674.PubMedCrossRefGoogle Scholar
  23. Tuckett, D., & Williams, A. (1984). Approaches to the measurement of explanation and information-giving in medical consultations: A review of empirical studies. Social Science and Medicine, 18, 571–580.PubMedCrossRefGoogle Scholar
  24. Wasserman, R. C., & Inui, T. S. (1983). Systematic analysis of clinician-patient interactions: A critique of recent approaches with suggestions for future research. Medical Care, 21, 279–285.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1988

Authors and Affiliations

  • Debra L. Roter
    • 1
  1. 1.Department of Behavioral Sciences and Health EducationJohns Hopkins University School of Hygiene and Public HealthBaltimoreUSA

Personalised recommendations