ArticlePatient education and counseling2013
Problems and processes in medical encounters: the cases method of dialogue analysis.
Article in Patient education and counseling, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed.
- Consumer satisfaction with antipsychotic medication-monitoring appointments: the role of consumer-prescriber communication patterns.International journal of psychiatry in clinical practice · 2018Article
- Factors associated with patient recall of key information in ambulatory specialty care visits: Results of an innovative methodology.PloS one · 2018Observational
- A study of the effectiveness of machine learning methods for classification of clinical interview fragments into a large number of categories.Journal of biomedical informatics · 2016Article
- Impact of a brief patient and provider intervention to improve the quality of communication about medication adherence among HIV patients.Patient education and counseling · 2015Article
- Automating annotation of information-giving for analysis of clinical conversation.Journal of the American Medical Informatics Association : JAMIA · 2014Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectiveTo develop methods to reliably capture structural and dynamic temporal features of clinical interactions.
methodsObservational study of 50 audio-recorded routine outpatient visits to HIV specialty clinics, using innovative analytic methods. The comprehensive analysis of the structure of encounters system (CASES) uses transcripts coded for speech acts, then imposes larger-scale structural elements: threads--the problems or issues addressed; and processes within threads--basic tasks of clinical care labeled presentation, information, resolution (decision making) and Engagement (interpersonal exchange). Threads are also coded for the nature of resolution.
results61% of utterances are in presentation processes. Provider verbal dominance is greatest in information and resolution processes, which also contain a high proportion of provider directives. About half of threads result in no action or decision. Information flows predominantly from patient to provider in presentation processes, and from provider to patient in information processes. Engagement is rare.
conclusionsIn this data, resolution is provider centered; more time for patient participation in resolution, or interpersonal engagement, would have to come from presentation. PRACTICE IMPLICATIONS: Awareness of the use of time in clinical encounters, and the interaction processes associated with various tasks, may help make clinical communication more efficient and effective.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.