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 language | English |
|---|---|
| Pages (from-to) | 24-30 |
| Number of pages | 7 |
| Journal | Journal of Spinal Cord Medicine |
| Volume | 36 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2013 Jan 1 |
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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 journal › Article
}
TY - JOUR
T1 - Conversational analysis of medical discourse in rehabilitation
T2 - A study in Korea
AU - Chang, Chulhun Ludgerus
AU - Park, Byung Kyu
AU - Kim, Sung Soo
PY - 2013/1/1
Y1 - 2013/1/1
N2 - 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.
AB - 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.
KW - Confucianism
KW - Conversational analysis
KW - Disability
KW - Empathy
KW - Korea
KW - Medical education
KW - Nonverbal communication
KW - Physician communication
KW - Rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=84876051453&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84876051453&partnerID=8YFLogxK
U2 - 10.1179/2045772312Y.0000000051
DO - 10.1179/2045772312Y.0000000051
M3 - Article
VL - 36
SP - 24
EP - 30
JO - Journal of Spinal Cord Medicine
JF - Journal of Spinal Cord Medicine
SN - 1079-0268
IS - 1
ER -