Conversational analysis of medical discourse in rehabilitation

A study in Korea

Chulhun Ludgerus Chang, Byung Kyu Park, Sung Soo Kim

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: The purpose of this study is to conduct an analysis of actual communicative behaviors, including nonverbal ones, between physicians and patients in rehabilitation. Design: Sixteen videotaped physician-patient interactions in a rehabilitation center in Korea were transcribed. And three coders placed utterances in transcripts into categories while watching the videotapes. Results: Consistent with results of previous studies, patient active communicative behaviors varied considerably depending on individual patients. The findings revealed that, on average, patients' active communicative behaviors were less than 9% of patients' total utterances. In particular, almost half of the patients (N = 7) did not even ask one single question. The results also showed that physicians' empathic communicative acts averaged less than 3% of physicians' total utterances. In addition, among physicians' nonverbal behaviors, eye-contact showed significant correlation with physician empathic listening and supportive talks. Conclusions: The findings of this study indicated a considerable lack of empathic communicative behaviors of physicians in Korea. This might have led to infrequent use of active communicative behaviors by patients. In addition, the importance of physician's partnership for enhancement of active communicative behaviors of patients was demonstrated. To better serve patients, physicians who wish to improve their communication should first identify components of their empathic communicative behaviors that need improvement and then attempt to refine their skills.

Original languageEnglish
Pages (from-to)24-30
Number of pages7
JournalJournal of Spinal Cord Medicine
Volume36
Issue number1
DOIs
Publication statusPublished - 2013 Jan 1

Fingerprint

Korea
Rehabilitation
Physicians
Rehabilitation Centers
Videotape Recording
Communication

Keywords

  • Confucianism
  • Conversational analysis
  • Disability
  • Empathy
  • Korea
  • Medical education
  • Nonverbal communication
  • Physician communication
  • Rehabilitation

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Conversational analysis of medical discourse in rehabilitation : A study in Korea. / Chang, Chulhun Ludgerus; Park, Byung Kyu; Kim, Sung Soo.

In: Journal of Spinal Cord Medicine, Vol. 36, No. 1, 01.01.2013, p. 24-30.

Research output: Contribution to journalArticle

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