Quantitative and qualitative approaches to the evaluation of the medical dialogue

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Abstract

Increasing availability of audio and videotape of medical encounters has drawn the attention of researchers from diverse disciplines and perspectives. Unfortunately, the result has more frequently been interdisciplinary competition than collaboration. Most striking are the differences in approach between researchers applying qualitative and quantitative methods. Advocates of each of these methods have not only argued their own relative merits, but have maintained unusually critical and intellectually isolated positions.

The purpose of this paper is to demonstrate that the paradigmatic perspective which promotes mutual exclusivity is in error. We present several examples of research findings which demonstrate the rich potential for cross-method research. Examples have been taken from the areas of most fruitful qualitative and quantitative research—information gathering, patient disclosure, and information-giving.

References (22)

  • D. Roter et al.

    Patient-physician communication: A descriptive summary of the literature

    Patient Educ. Counsel.

    (1988)
  • C.S. Reichardt et al.

    Beyond qualitative versus quantitative methods

  • W.J. Filstead

    Qualitative methods: A needed perspective in evaluation research

  • E.G. Mishler

    The Discourse of Medicine: Dialectics of Medical Interviews

    (1984)
  • A. Cicourel

    Three models of discourse analysis: The role of social structure

    Discourse Processes

    (1980)
  • C. West et al.

    Miscommunication in medicine

  • T.S. Inui et al.

    Problems and prospects for health services research on provider-patient communication

    Med. Care

    (1985)
  • S.A. Cohen-Cole

    The Medical Interview: The Three-Function Approach

    (1991)
  • H.B. Beckman et al.

    The effect of physician behavior on the collection of data

    Annls internal Med.

    (1984)
  • H.B. Beckman et al.

    Soliciting the patients complete agenda: A relationship to the distribution of concerns

    Clin. Res.

    (1985)
  • H. Sacks et al.

    A simplest systematics for the organization of turn taking for conversation

    Language

    (1984)
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