Socio-economic status of the patient and doctor-patient communication: does it make a difference?

被引:409
作者
Willems, S [1 ]
De Maesschalck, S [1 ]
Deveugele, M [1 ]
Derese, A [1 ]
De Maeseneer, J [1 ]
机构
[1] Univ Ghent, Dept Gen Practice & Primary Hlth Care, B-9000 Ghent, Belgium
关键词
communication; physician-patient relations; social class (Mesh);
D O I
10.1016/j.pec.2004.02.011
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This systematic review. in which 12 original research papers and meta-analyses were included. explored whether patients' socio-economic status influences doctor-patient communication. Results show that patients from lower social classes receive less positive socio-emotional utterances and a more directive and less participatory consulting style, characterised by significantly less information giving, less directions and less Socio-emotional and partnership building utterances from their doctor. Doctors' communicative style is influenced by the way patients communicate: patients from higher social classes communicate more actively and show more affective expressiveness, eliciting more information from their doctor. Patients from lower social classes are often disadvantaged because of the doctor's misperception of their desire and need for information and their ability to take part in the care process. A more effective communication could be established by both doctors and patients through doctors' awareness of the contextual communicative differences and empowering patients to express concerns and preferences. (C) 2004 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:139 / 146
页数:8
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