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Related Experiment Videos

Interruption in the medical interaction

T Realini1, A Kalet, J Sparling

  • 1Department of Ophthalmology, University of North Carolina at Chapel Hill, USA.

Archives of Family Medicine
|December 1, 1995
PubMed
Summary
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Patient interruptions in physician-patient interactions are common and informative. Patients often initiate interruptions, leading to new information and shifts in conversational control.

Area of Science:

  • Medical Communication
  • Health Services Research
  • Patient-Physician Interaction Dynamics

Background:

  • Understanding communication patterns is crucial for effective healthcare delivery.
  • Physician-patient interactions involve complex dynamics, including interruptions.
  • The role and impact of patient-initiated interruptions require detailed examination.

Purpose of the Study:

  • To analyze interruption patterns in physician-patient interactions.
  • To identify who initiates interruptions.
  • To assess shifts in conversational control post-interruption and information gained.

Main Methods:

  • Observational study design.
  • Data collected from community-based primary care practices in North Carolina.

Related Experiment Videos

  • Analysis of 40 audiotaped physician-patient interactions involving 10 physicians and 40 patients.

    • Main Results:

    • A total of 833 interruptions were recorded (average 20.8 per interaction).
    • Patients initiated 55% of interruptions.
    • Conversational control shifted after 50% of interruptions; patients gained control more often when initiating interruptions (74%) and this frequently yielded new information (75%).

    Conclusions:

    • Patient interruptions are a significant feature of physician-patient communication.
    • Patient-initiated interruptions can be a valuable source of new information.
    • Interventions may be beneficial to leverage patient interruptions for improved dialogue.