1% of your final number out-of dialogues have been frontstage, i.e. in person linking brand new health care staff member for the diligent, while you are 28% was in fact backstage dialogues, where the diligent was not directly with it.
The expression amount accomplished with the visit transcripts indicated that 65.8% away from words was basically verbal by the medical professionals, as compared to twenty-six.3% from the people and you can eight.9% from the most other professionals (household members, other advantages). These types of performance underline how the doctor together with patient represent new absolute protagonists of your appointment, once the appropriate, no matter if that have a clearly preponderant part of the former. Regarding a spoken viewpoint, almost every other people seemed to gamble a secondary role inside visit function.
The newest visit off diligent n. dos.06, an effective 35-year old men, also provides us a very clear exemplory case of BS dialogues in addition to their feeling to the person’s sense:
Doc 1: possibly the acoustic screen can be improved… (into the diligent:) Sir, is please you breathe particular sky? Okay…along these lines…primary! Now breathe generally speaking! (Into the student:) Okay, today level it, this is actually the best point!
Doctor step 1: right here, to date.. it is a bit dilated. . . . we have to verify that the center gift suggestions an abnormal flow right here, during the kept ventricle
Comparing the two components of FS interactions, physician-patient contacts were largely predominant over others-patient interactions (t(44) = 12,985; p<0.001). Thus, despite the high number of actors within the clinical interview, doctors and patients undoubtedly remain the main protagonists of the consultation, with limited collateral activity. In this context, the word count analysis limited to FS interactions reiterates a preponderance of words spoken by the physician versus those by the patient (t(44) = 9,506; p<0.001): in the relationship between the two protagonists of the consultation, the doctor seems to have a greater weight and a wider narrative space.
Inquiries and answers
During the visit, physicians were far more prone than patients to ask questions (an average of 48.7 questions per consultation, compared to 7.26 questions for patients), both of the open and closed type (t(44) = 9,02; p<0.001 and t(44) = 11,25; p<0.001, respectively). Fig 1 shows results of word count and questions/answers comparison between doctors and patients.
Of note, doctors were more likely to ask closed rather than open question (t(44) = -11,90; p<0.001). Furthermore, doctors more often used relaunch rather than new questions (t(44) = 2.189; p = .03): physicians most often started from patients' information and previous answers to formulate their questions rather than proposing new issues bypassing their interlocutors' narratives. The following extract of consultation of patient 1.09 (a 51-year old female) provides an example of consultation focused on relaunch questions:
Patient: sure… now i’m quite nicely in the same manner which i in the morning currently delivering bisoprolol plus the cardiologist has grown they hot Popular datings dating to 3.75 while the We leftover having so it sense of heaviness back at my chest, above all else… lots of extrasystole
Patient: Well… the newest extrasystoles have now been indeed there for the majority of age additionally the doctor within my employment lay found it, while in the a frequent visit, however did every reports, the Holter and stuff like that, and additionally they discover I got thirteen,000 daily having couplets and triplets and i also arrived at take drugs. This new bisoprolol, somewhat however, I grabbed step 1.twenty-five milligrams everyday… it seems if you ask me every single day… after that not too long ago I found myself… I’m simply my cardiovascular system you to… such as the center within my mouth… bottom bottom bum… good… right after which sometimes an impression eliminated, sometimes it went on…Basically, We returned toward cardiologist plus the extrasystoles got enhanced in fact thereby we enhanced the total amount of bisoprolol, however did this new MRI which i sent you sometime ago and now I’m very well… however, time to time I get a great heaviness and from inside the breathing, difficulty in breathing significantly… perhaps while i buy…
Furthermore, the number of Front Stage movements during the visit was significantly higher than the number of Back Stage (BS) dialogues (t(44) = 7,262; p<0
Patient: no-no no… even yet in typical conditions… maybe I’m at your workplace thus i feel like which… I am not sure in case it is a little stress or if perhaps it’s thanks to this… this reality of one’s extrasystoles… I’m not sure, because I feel in this way… a tiny tachycardia… something which sounds into the […]”.