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Issues in coding cancer consultations: Interaction analysis systems 

Issues in coding cancer consultations: Interaction analysis systems

Chapter:
Issues in coding cancer consultations: Interaction analysis systems
Author(s):

Phyllis N. Butow

DOI:
10.1093/med/9780198736134.003.0064
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date: 23 April 2017

It is now well accepted that communication between the health professional and the patient is a critical component of quality patient care, and that poor communication can adversely affect both patient and health professional outcomes. However, audits of doctor and nurse communication with patients have consistently revealed deficits, prompting the growth of communication skills training for both junior and senior clinicians, and the publication of communication guidelines for various challenging situations. Interaction analysis systems (IAS) enable the analysis of communication between the doctor, patient, family, and other health professionals in a qualitative and quantitative fashion. They are used as descriptive and outcome measures in research into medical communication, as well as to provide feedback to individual clinicians on their behaviour. Two types of IAS can be identified: ‘content’ systems, which describe task-oriented behaviour; and ‘process’ systems, which measure socio-emotional behaviour. This chapter describes and compares a variety of IAS.

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