医生在医学访谈中采用的依从性获得策略的自然调查

David E. Schneider, Russell A. Beaubien
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引用次数: 7

摘要

本研究的主要目的是确定医生在与患者互动时使用的实际依从性策略。5名医生在两家医疗机构与105名患者互动时被观察到。目前的自然主义调查结果表明,传统的Marwell和Schmitt类型学(1967)并不完全适用于研究医患之间的依从性策略。此外,通过内容分析,还确定了另外三种获得合规的策略:合法性、中介和拖延。医生的策略范围主要局限于三种技术。积极的专业知识、合法性和喜欢度占医生所有尝试的83.55%。讨论了健康传播领域依从性获得研究的未来方向。
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A naturalistic investigation of compliance‐gaining strategies employed by doctors in medical interviews
The main purpose of the present investigation was to identify actual compliance‐gaining strategies used by doctors while interacting with patients. Five doctors were observed while interacting with 105 patients in two medical care facilities. Findings of the present naturalistic investigation suggest that the traditional Marwell and Schmitt typology (1967) is not entirely appropriate for studying compliance‐gaining strategies between doctors and patients. Further, through content analysis, three additional compliance‐gaining strategies were identified: legitimacy, intermediaries, and procrastination. Doctors’ range of strategies were primarily limited to three techniques. Positive expertise, legitimacy, and liking accounted for 83.55 % of all attempts employed by doctors. Future directions for compliance‐gaining research in the field of health communication are discussed.
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