医学
类型学
门诊部
对话
家庭医学
患者满意度
定性研究
探索性研究
健康传播
医疗保健
护理部
内科学
心理学
社会学
考古
经济
历史
经济增长
沟通
社会科学
人类学
作者
Chia‐Chun Tang,Hsi Chen,Weiwen Wu,I-Ni Tsai,Jaw‐Shiun Tsai
标识
DOI:10.1016/j.soncn.2022.151355
摘要
Informed by the dual process theory of supportive message, the aim of this study is to systematically describe symptom communication, including its relationship with patient outcomes. This is a mixed-methods study with an exploratory design. By examining symptom communication that occurred in oncology and hospice outpatient clinics, the qualitative phase employed conversation analysis to validate a typology of interaction patterns. The subsequent quantitative phase examined the relationship between interaction patterns and patient outcomes. A total of 52 cancer patients’ outpatient communications with their health care providers were included in the analysis. Ten unique interaction patterns were identified and defined. Among the 10 interaction patterns, some patterns are significantly associated with critical patient outcomes, including satisfaction, health communication self-efficacy, and symptom agreement between patients and their health care providers. This study represents one of the few mixed-methods studies to examine the patterns of real outpatient symptom communications and link them to concrete patient outcomes. Our results present various interaction patterns that are commonly used in medical encounters and suggest that using some patterns affects critical patient outcomes.
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