What Happens When Doctors and Patients Interrupt Each Other?

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What Happens When Doctors and Patients Interrupt Each Other?
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When docs and patients interrupt each other: Intrusion or cooperation?

and male dominance, although others have questioned this direct link between gender and interruptions. A systematic analysis of cooperative and intrusive interruptions in various consultation phases of clinical practice interactions is lacking.One study that was carried out in a primary care setting assessed whether speaker role and speaker gender predict the type of interruption in these particular consultation phases .

All consultations had at least one interruption, with an average of about 29 interruptions per consultation. Patients made 55.5% of all interruptions, 55% of cooperative interruptions, and 58.9% of intrusive interruptions. Physicians made the first interruption in 56% of the 84 consultations, an average of 36.3 seconds after the start of the problem presentation phase, and 89% of these interruptions were cooperative.

Patients interrupted physicians more frequently than vice versa, and more often in an intrusive manner. These results correct the intuitive assumption that it is mainly the physician who acts intrusively during medical interaction. Moreover, male physicians and female patients were most likely to make intrusive interruptions, and female physicians and male patients were most likely to interrupt in a cooperative manner.

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