interacting with patients/parents, results such as these
may have differed if the sample comprised of parents
from dysfunctional families, who are commonly more
reluctant to disclose personal information.
In a 1998 study from Holland (Van Dulmen,
1998), 21 paediatricians in an outpatients clinic were
video-taped while interviewing children and their
parents. The mean age of the children was 5.3 years,
(SD = 4.6). Verbal communication during the visit
was dominated by the paediatrician, and children's
contribution seemed meagre and limited to social
conversation. Only a small amount of medical
information was directed at the child. Boys were more
likely to interact with the doctor than girls, interaction
by the child increased with age, and episodes of
orientation interactions decreased if the visit was a
follow-up, rather than initial consultation. Closer
examination of the results illustrated that the
paediatricians did not interact with the children as much
as with the parents. In 36% of encounters, the child
did not verbally participate at all, (the ages of the
children in these encounters were not stated). In 8.6%
of encounters, the paediatrician did not engage in any
communication with the child, and only one in every
four statements were directed at the child.
By 2004, little had changed, and despite the
fact that communication is now often a POlt of medical
education, the relationships between parents and
doctors seem to still be fraught with difficulty.
Communication between doctors, parents and
interacting with patients/parents, results such as thesemay have differed if the sample comprised of parentsfrom dysfunctional families, who are commonly morereluctant to disclose personal information.In a 1998 study from Holland (Van Dulmen,1998), 21 paediatricians in an outpatients clinic werevideo-taped while interviewing children and theirparents. The mean age of the children was 5.3 years,(SD = 4.6). Verbal communication during the visitwas dominated by the paediatrician, and children'scontribution seemed meagre and limited to socialconversation. Only a small amount of medicalinformation was directed at the child. Boys were morelikely to interact with the doctor than girls, interactionby the child increased with age, and episodes oforientation interactions decreased if the visit was afollow-up, rather than initial consultation. Closerexamination of the results illustrated that thepaediatricians did not interact with the children as muchas with the parents. In 36% of encounters, the childdid not verbally participate at all, (the ages of thechildren in these encounters were not stated). In 8.6%of encounters, the paediatrician did not engage in anycommunication with the child, and only one in everyfour statements were directed at the child.By 2004, little had changed, and despite thefact that communication is now often a POlt of medicaleducation, the relationships between parents anddoctors seem to still be fraught with difficulty.Communication between doctors, parents and
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