Communication patterns in medical encounters for the treatment of child psychosocial problems: does pediatrician-parent concordance matter?

Publisher: Routledge, Taylor & Francis Group Country of Publication: England NLM ID: 8908762 Publication Model: Print Cited Medium: Print ISSN: 1041-0236 (Print) Linking ISSN: 10410236 NLM ISO Abbreviation: Health Commun Subsets: MEDLINE

Publication: [London] : Routledge, Taylor & Francis Group
Original Publication: Hillsdale, N.J. : Lawrence Erlbaum Associates, c1989-

Child Psychiatry* ; Communication* ; Pediatrics* ; Professional-Family Relations* ; Psychology*; Child ; Female ; Humans ; Interviews as Topic ; Male ; United States

This study examined how pediatrician-parent social status concordance related to communication patterns in medical encounters during which children received treatment for psychosocial problems indicating attention deficit disorder or attention deficit hyperactivity disorder. Using data from 28 pediatric medical encounters occurring in a large southeastern metropolitan city during 2003, we focused on concordance according to race, gender, and education, and its relation to laughter, concern, self-disclosure, question asking, and information-giving utterances, and patient-centeredness. Results indicated that race-concordant pediatricians and parents frequently laughed, whereas parents asked many biomedical questions in gender-concordant encounters. Education-concordant pediatricians and parents expressed concern repeatedly, exchanged biomedical information freely, and shared communication control. Pediatricians also self-disclosed when interacting with college-educated parents.

R01MH062951-03S1 United States MH NIMH NIH HHS

Date Created: 20070615 Date Completed: 20070906 Latest Revision: 20071115

20221213

10.1080/10410230701307717

17567256