Role-Taking Accuracy in Medical Encounters: A Test of two Theories

Abstract

This paper tests five hypotheses derived from two contrasting theoretical perspectives on role-taking accuracy: a social contact theory and an institutional resource theory. We investigate how well doctors and patients perceive one another's perspectives in a medical encounter. The cumulative weight of the data supports the proposed social contact theory. Increased contact between residents and patients, as reflected in physician's year in residency, contributes to more accurate role-taking on the part of physicians. Conditions of social compatibility between doctors and patients vis a vis gender or race lead to more accurate role-taking. Finally, personal characteristics are better predictors of role-taking accuracy than institutional status variables such as type of residency training program or doctor's year in residency status.