Abstract

Certain basic characteristics of primary care practice shape the content, form and techniqueof the medical interview. These characteristics force the interview to become more a joint discussion of a series of topics than an interrogation or inquisition; more negotiation and consensus seeking than authoritarian prescription and proscription; and more associational than rigidly structured. Information flows from physician to patient as well as vice versa, and includes the psychosocial aspects of being sick and being a patient. An instrument for evaluating routine doctor-patient interactions has been developed. It attempts totake account of these characteristics of primary care practice, and can be used with audio or video recordings of actual clinical encounters. It requires the rating of 19 items covering the form of the interview, the use of authority, technique of questioning, management of the patient's emotions and information transmitted. It can be used in teaching, program planning and evaluation, and in medical care research.

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