DiMatteo2003
| DiMatteo2003 | |
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| BibType | ARTICLE |
| Key | DiMatteo2003 |
| Author(s) | M. Robin DiMatteo, Jeffrey D. Robinson, John Heritage, Melissa Tabbarah, Sarah A. Fox |
| Title | Correspondence Among Patients' Self-Reports, Chart Records, and Audio/Videotapes of Medical Visits |
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| Tag(s) | conversation analysis, medical EMCA, self-reports, primary-care physicians |
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| Year | 2003 |
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| Journal | Health Communication |
| Volume | 15 |
| Number | 4 |
| Pages | 393–413 |
| URL | Link |
| DOI | 10.1207/S15327027HC1504_02 |
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Abstract
This pilot study examined the covariation of patients' self-reports of instrumental and affective aspects of communication during physician-patient visits with 2 other sources of data: medical chart records and audio/videotapes. Participants were 17 community-based (nonuniversity) primary-care physicians and 77 of their patients, ages 50 to 80. Patients were interviewed by telephone within 1 week after their medical visits. Thirty-five of these visits were audio- and videotaped. Patients were asked to report on their receipt of specific cancer screening in the previous 2 years, the occurrence of instrumental communication events during the visit (e.g., recommendations), their affect, and their visit experiences and communication with their physicians. Results showed (a) noteworthy disagreements between patients' self-reports and medical charts regarding cancer screening; (b) better agreement of patients' self-reports with videotape records than with chart records regarding physicians' recommendations; (c) accurate recognition of patients' self-reported affect, communication, and visit experiences by third-party raters of both audiotapes and videotapes; and (d) similar correlations of audio- and videotape ratings with patients' self-reports as well as substantial correlations between audio and video ratings. The implications of these findings are discussed, and recommendations are made for future research.
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