Physician gaze shifts in patient-physician interactions: functions,accounts and responses |
| |
| Affiliation: | 1. Amsterdam UMC, University of Amsterdam, Department of Medical Psychology, Amsterdam, The Netherlands;2. Amsterdam UMC, University of Amsterdam, Department of Medicine, Amsterdam, The Netherlands;3. Centre for Language and Cognition (CLCG), University of Groningen, Groningen, The Netherlands;4. School of Human and Community Development, University of the Witwatersrand, Johannesburg, South Africa |
| |
| Abstract: | ObjectivesPhysician gaze towards patients is fundamental for medical consultations. Physicians’ use of Electronic Health Records (EHR) affects their gaze towards patients, and may negatively influence this interaction. We aimed to study conversation patterns during gaze shifts of physicians from the patient towards the EHR.MethodsOutpatient consultations (N = 8) were eye-tracked. Interactions around physician gaze shifts towards the computer were transcribed.ResultsWe found that physician gaze shifts have different interactional functions, e.g., introducing a topic switch or entering data into the EHR. Furthermore, physicians differ in how they account for their gaze shifts, i.e., both implicitly and explicitly. Third, patients vary in treating the gaze shift as an indication to continue their turn or not.ConclusionsOur results suggest that physician gaze shifts vary in function, in how physicians account for them, and in how they influence the conversation. Future research should take into account distinctions when relating gaze to patient outcomes.Practice implicationsPhysicians may be aware of the interactional context of their gaze behaviour. Patients respond differently to various types of gaze shifts. How physicians handle gaze shifts can therefore have different consequences for the interaction. |
| |
| Keywords: | Conversation analysis Physician gaze shifts Physician-patient interaction Eye-tracking Electronic health record |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
