title: Physicians' and patients' perceptions of patients' communication competence in a primary care medical interview.
abstract: Considerable research suggests that patients and physicians often perceive aspects of the medical interview quite differently. Despite extensive research into physician-patient communication, virtually no attention has been given to assessing patients' and physicians' perceptions of communication competence during the medical interview. The purpose of this research was to determine the extent of agreement between physicians and patients on what behaviors constitute competent patient communication. The results indicate that there is considerable agreement between physicians and patients on the categories of competent patient communication. However, there is little or no evidence for agreement at the dyadic level on the occurrence of competent patient communication. Moreover, there is little evidence that physicians' and patients' perceptions of competence correlate with patients' actual discourse. These results are discussed with respect to implications for future research on patient communication skills training interventions.
authors.affiliation: School of Journalism and Communication and Department of Family Medicine, The Ohio State University, Columbus, OH 43210, USA. cegala.1@osu.edu
authors.forename: Donald J
authors.initials: DJ
authors.lastname: Cegala
authors.forename: Carmin
authors.initials: C
authors.lastname: Gade
authors.forename: Stefne
authors.initials: S
authors.lastname: Lenzmeier Broz
authors.forename: Leola
authors.initials: L
authors.lastname: McClure
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003142:Communication; D005194:Family Practice / Q000592:standards*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008487:Medical History Taking; D008875:Middle Aged; D010358:Patient Participation / Q000523:psychology*; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011320:Primary Health Care / Q000592:standards; D012938:Social Perception