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Communication Patterns of Primary Care Pediatricians, Parents, and Children with and Without Special Health Care Needs

机译:初级保健儿科医生,父母和有或没有特殊保健需要的儿童的沟通方式

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The purpose of this study was to compare the communication patterns of pediatricians with parents of children with special health care needs (CSHCN) and parents of healthy children to explore whether there were significant differences in communication patterns and satisfaction. Ten pediatricians were audiotaped during 97 outpatient medical encounters. Analyses of variance (ANOVAs) were used to examine communication patterns based on children’s health status. Results showed that although pediatricians did not differ in their frequencies of communications, parents of CSHCN contributed more medical-related information and had higher rates of social exchanges and questions than parents of healthy children. CSHCN also participated more than healthy children. Children’s health status did not influence pediatrician or parent satisfaction ratings of the visit. Pediatricians’ satisfaction ratings were higher in medically oriented encounters, whereas parents’ satisfaction ratings were not related to communication patterns. The results of this study underscore the role of parents of CSHCN in communicating medical information, as well as the importance of pediatrician–family relationships to families of CSHCN.
机译:这项研究的目的是比较儿科医生与有特殊保健需求的儿童的父母(CSHCN)和健康儿童的父母的沟通方式,以探讨沟通方式和满意度上是否存在显着差异。在97次门诊医疗中,对10名儿科医生进行了录音。方差分析(ANOVA)用于检查基于儿童健康状况的交流方式。结果表明,尽管儿科医生的沟通频率没有差异,但与健康儿童的父母相比,CSHCN的父母贡献了更多与医学有关的信息,社交交流和提问的频率更高。 CSHCN还参加了比健康儿童更多的活动。儿童的健康状况不会影响儿科医生或家长对这次访问的满意度。在以医学为导向的相遇中,儿科医生的满意度较高,而父母的满意度与沟通方式无关。这项研究的结果强调了CSHCN的父母在交流医疗信息中的作用,以及儿科医生与家庭之间的关系对CSHCN的重要性。

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