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Doctor-parent-child communication over the years: an interactional analysis.
Meeuwesen, L., Bensing, J., Kaptein, M. Doctor-parent-child communication over the years: an interactional analysis. In: J. Bensing, U. Sätterlund Larsson, L. Szecsenyi (eds.). Doctor-patient communication and the quality of care in general practice. p. 5-18
Objective: This study focuses on the verbal behaviour in the triad doctor-parent-child communication, containing a comparison of the interactional patterns over a period of 15 years. Have any interactional changes taken place over this period? Setting: The General Practitioner's Surgery. Material: Videotaped observations of ten medical interviews with children in the period 1975-1978 and ten in the period 1988-1989 (modal age child = 9 years old). Methods: The communicative interaction of the triad doctor-parent-child was assessed with a frequential analysis by Roter's Interaction Analysis System (RIAS) and a sequential analysis by a Turn Allocated System (1 AS). Results: The conversational contribution of the child has increased significantly over the years. Whereas in the mid-seventies the child was, by and large, passive, in the late eighties, the contribution of the child has grown substantial by giving more medical information. The child takes more initiatives to document the complaints. At the same time the child interferes more in adult interactions, and the GP appeals more to the active participation of the child in the medical visit communication. Conclusion: The results are discussed in terms of transformational processes that have taken place in society at large, and recommendations are given for future research.
Objective: This study focuses on the verbal behaviour in the triad doctor-parent-child communication, containing a comparison of the interactional patterns over a period of 15 years. Have any interactional changes taken place over this period? Setting: The General Practitioner's Surgery. Material: Videotaped observations of ten medical interviews with children in the period 1975-1978 and ten in the period 1988-1989 (modal age child = 9 years old). Methods: The communicative interaction of the triad doctor-parent-child was assessed with a frequential analysis by Roter's Interaction Analysis System (RIAS) and a sequential analysis by a Turn Allocated System (1 AS). Results: The conversational contribution of the child has increased significantly over the years. Whereas in the mid-seventies the child was, by and large, passive, in the late eighties, the contribution of the child has grown substantial by giving more medical information. The child takes more initiatives to document the complaints. At the same time the child interferes more in adult interactions, and the GP appeals more to the active participation of the child in the medical visit communication. Conclusion: The results are discussed in terms of transformational processes that have taken place in society at large, and recommendations are given for future research.