The DOI matches its Crossref record; 69 of the 69 references it cites were found in a registry or an index.
An Interactional Structure of Medical Activities During Acute Visits and Its Implications for Patients' Participation
Abstract
Within the context of primary-care, physician-patient visits, researchers have documented both patients' low levels of communicative participation (e.g., question asking) and the advantages of such participation to healthcare (e.g., improved physical health and satisfaction). Prior research has offered a variety of partial, non-exclusive explanations for patients' low levels of participation. This article investigates one underdeveloped source of explanation: the organization of interaction itself. This article argues that the establishment of new medical problems in acute visits makes relevant an organized structure of social action that is composed of an ordered series of medical activities: establishing the reason for the visit, physicians gathering additional information (i.e., history taking and physical examination), physicians delivering diagnoses, and physicians providing treatment recommendations. This "project" of medical activity shapes physicians' and patients' understanding and production of communicative behavior. Using the method of conversation analysis, and analyzing transcribed audio- and videotape data of actual acute visits, this article describes and grounds this project and discusses its implications for research, theory, and improvement on patient participation.
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Cites
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Cited by
On the remarkable persistence of asymmetry in doctor/patient interaction: A critical review
Pilnick, A., & Dingwall, R. (2011) · Social Science & Medicine · doi:10.1016/j.socscimed.2011.02.033 · Cited by 391
Irvine, A., Drew, P., Bower, P., Brooks, H., Gellatly, J., Armitage, C. J., Barkham, M., McMillan, D., & Bee, P. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.01.057 · Cited by 196
“The method of Conversation Analysis (CA) offers a proven method for adding understanding to the interactional processes of clinical encounters (Drew et al., 2001; Heritage and Maynard, 2006; Heritage and Robinson, 2006; Perakyla et al., 2008; Robinson, 2003; Robinson and Heritage, 2006).”
MethodA network model of activities in primary care consultations
Kocaballi, A. B., Coiera, E., Tong, H. L., White, S. J., Quiroz, J. C., Rezazadegan, F., Willcock, S., & Laranjo, L. (2019) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocz046 · Cited by 23
Understanding Diagnostic Conversations in Clinical Practice: A Systematic Review
Huynh, K., Brito, J. P., Bylund, C. L., Prokop, L. J., & Ospina, N. S. (2023) · Patient Education and Counseling · doi:10.1016/j.pec.2023.107949 · Cited by 8
Displays and claims of understanding in conversation by people with aphasia
Walker, T., Thomson, J., & Watt, I. (2016) · Aphasiology · doi:10.1080/02687038.2015.1119797 · Cited by 7
Metadata
- Authors
- Robinson, J. D.
- Venue
- Health Communication
- Publisher
- Informa UK Limited
- Published
- 2003-01
- Volume
- 15
- Issue
- 1
- Pages
- 27-59
- ISSN
- 1041-0236 (ISSN-L)
- 1532-7027
- OpenAlex
- W1987321948
- Cited by
- 393
- References
- 69
- FWCI
- 11.55
- Type
- journal article
- Language
- en
- Open access
- closed
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
