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Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
07:56

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Published on: September 19, 2019

Pediatrician-parent-child communication: problem-related or not?

Sandra van Dulmen1

  • 1NIVEL, PO Box 1568, 3500 BN, Utrecht, The Netherlands. s.vandulmen@nivel.nl

Patient Education and Counseling
|January 20, 2004
PubMed

Insights

Pediatric communication patterns vary by child

Area of Science:

  • Pediatric healthcare communication
  • Medical sociology
  • Child psychology

Background:

  • Pediatricians encounter diverse health issues, each potentially requiring distinct communication approaches.
  • The specific communication dynamics during pediatric visits based on the child's health problem remain under-explored.

Purpose of the Study:

  • To determine if three established communication patterns are identifiable in real-world pediatric outpatient encounters.
  • To compare communication patterns in visits involving children with respiratory versus behavioral problems.

Main Methods:

  • Analysis of 846 videotaped pediatric outpatient visits using the Roter Interaction Analysis System.
  • Multivariate logistic regression to identify factors influencing communication patterns.
  • Comparison of communication strategies for respiratory (n=269) and behavioral (n=77) issues.

Main Results:

  • Biopsychosocial (45%), biomedical (40%), and psychosocial (15%) communication patterns were observed.
  • Child's age and pediatrician's experience significantly influenced communication patterns.
  • Distinct communication patterns were evident for respiratory and behavioral problems.

Conclusions:

  • Pediatric healthcare communication varies significantly depending on the child's presenting problem.
  • Less experienced pediatricians may require targeted training to enhance psychosocial communication skills.
  • Tailoring communication strategies to specific pediatric conditions is crucial for effective care.

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