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Patient information-seeking behaviors when communicating with doctors
1Center on Aging, University of Kansas Medical Center, Kansas City.
Medical Care
|January 1, 1990
Summary
Patients want medical information but often don't ask doctors questions, preferring doctors to make decisions. Patient question-asking behaviors are linked more to visit specifics than personal factors, especially in longer consultations.
Area of Science:
- Rehabilitation Medicine
- Patient Communication
- Health Psychology
Background:
- Understanding patient information-seeking behaviors is crucial for effective doctor-patient communication.
- Previous research indicates a gap between patients' desire for information and their actual information-seeking actions during medical consultations.
Purpose of the Study:
- To investigate patient differences in question-asking and information-seeking behaviors within rehabilitation medicine settings.
- To identify factors influencing these behaviors, including sociodemographic characteristics, attitudes, and situational variables.
Main Methods:
- A study involving 106 rehabilitation medicine patients.
- Data collection included sociodemographic information, attitude measures, interviews, and recordings of doctor-patient encounters.
- Regression analyses were used to determine the association between patient behaviors and various influencing factors.
Main Results:
- Patients expressed a desire for extensive medical information but exhibited limited information-seeking behaviors during consultations.
- Patients generally deferred medical decision-making authority to their doctors.
- Patient information-seeking was more strongly correlated with situational factors (e.g., visit length, diagnosis) than with patient attitudes or demographics.
- Patient attitudes significantly impacted information-seeking only in interactions exceeding 19 minutes.
Conclusions:
- Longer doctor-patient interactions may be necessary for patient attitudes about information desire and decision-making participation to translate into active information-seeking communication.
- Situational variables play a more dominant role in shaping patient information-seeking behaviors than personal characteristics in this cohort.
- Findings highlight the need to consider interaction dynamics and context when promoting patient engagement in healthcare decision-making.