Table 1 Conceptualisation of the behavioural model regarding communication between social insurance physicians (SIP) and claimants (CL) during assessment interviews
| Concepts | Conceptualisation to communication | ||
|---|---|---|---|
| Social insurance physician | Claimant | ||
| Intentions |
Problem-solving communication style1
Insurance-technological communication style1 Careful communication style1 Intention to give in to CL5 Intention to force the own will on CL5 Intention to solve problems jointly with CL5 |
Problem-focussed, strategic coping10
Psychological distancing and avoiding10 Seeking social support10 Seeking practical support | |
| Attitudes |
Practice-directed attitude1
Result-directed attitude1 (sharing attitude2) Patient centeredness2 Distribution of responsibility3 Attitude towards own profession4 |
Relationship-focussed attitude1
Result-directed/information-focussed attitude1 Attitude regarding patient-centeredness2 Passive coping attitude6 Wait-and-see coping attitude6 Active problem-focussed coping attitude6 Attitude about expression of emotions6 | |
| Preparation before assessment interview(s) (preparation phase) | Social influence |
Public opinion16
Opinion of colleagues16 Opinion of other SIPs Opinion of employing institute | Influence of other people16 |
| Self-efficacy | Self-efficacy trait about communication8 | Self-efficacy8 | |
| Skills |
Skills related to disease/disability Degree of control over communication (process) Handling communication problems (perceptual) |
Providing information11
Verifying information11 Presence of social support | |
| Barriers/support (in preparation) |
CL's characteristics and skills Lack of information |
SIP's characteristics CL's own characteristics (including disability) | |
| Barriers/support (in interview) |
CL's characteristics and skills Other people who are present Lack of information (e.g. missing files) |
SIP's characteristics CL's own characteristics (including disability) | |
| Behaviour |
Instrumental communication behaviour Affective communication behaviour |
Instrumental communication behaviour Affective communication behaviour | |
|
During assessment interview (action phase) | Satisfaction (appraisal of behaviour) |
Focus on instrumental aspect (information exchange and making decisions): • Listening15 • Correctness15 • Clarity15 • Satisfaction with provided information1 Focus on affective aspect: • Empathy15 • Carefulness15 • Take CL seriously12 • Helping alliance14 • Trust and confidentiality12 • Knowledge-based trust3 • Identification-based trust3 • Satisfaction with cooperation1 General overall degree of satisfaction13 |
Focus on instrumental aspect (information exchange): • Listening15 • Correctness15 • Clarity15 • Satisfaction with provided information1 Focus on affective aspect: • Empathy15 • Carefulness15 • Being taken seriously as a CL12 • Helping attitude14 • Trust and confidentiality12 • Knowledge-based trust3 • Identification-based trust3 • Satisfaction with cooperation1 General overall degree of satisfaction13 |
| Personal characteristics |
Age Gender Socio-cultural background Legal context |
Number of previous assessment interviews Age Gender Socio-cultural background Level of education Personality characteristics9 | |