title: An exploration of factors promoting patient participation in primary care medical interviews.
abstract: Street's (2003) ecological model of communication in medical encounters was used to select and examine factors that potentially promote or retard patient participation. Patient participation was defined as information seeking and provision, assertive utterances, and emotional expressions. Patient participation discourse scores were used as the dependent variable in a multilevel regression analysis with 19 predictor variables representing cultural, organizational, and interpersonal factors of the ecological model. The analysis revealed eight significant predictors of patient participation. The results were discussed with respect to other research using the ecological model and their implications for continued study of factors that promote or retard patient participation.
authors.affiliation: School of Communication, The Ohio State University, 3016 Derby Hall, 154 N. Oval Mall, Columbus, OH 43210, USA. cegala.1@osu.edu
authors.forename: Donald J
authors.initials: DJ
authors.lastname: Cegala
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003142:Communication; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D008487:Medical History Taking; D008875:Middle Aged; D010358:Patient Participation / Q000523:psychology* / Q000706:statistics & numerical data; D010817:Physician-Patient Relations; D011320:Primary Health Care; D011584:Psychology; D012931:Social Environment; D055815:Young Adult