The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.
Authority and Accountability: The Delivery of Diagnosis in Primary Health Care
Abstract
Drawing on a database of more than 100 videotaped and transcribed medical consultations, this paper analyzes the balance between authority and accountability in delivering diagnostic news in interactions between doctors and patients in Finnish primary health care. Three designs of diagnostic turns are identified: (1) In plain assertions, the doctor states the name of the illness in a classical proposition format: It is X. (2) In diagnostic tuns incorporating inexplicit references to the evidence, the doctor usually uses evidential verb constructions, such as It seems to be X.' (3) In turns that explicate the evidence, the doctor describes specific observations as evidence for the diagnostic statement. Through the coordination of the design and placement of their diagnostic turns, the doctors treat themselves as accountable for the evidential basis of the diagnosis, and thereby do not claim unconditional authority in relation to the patients. The observations reported here make it possible to specify Parsons' and Freidson's classical formulations concerning doctors' authority.
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Wallace, A. F. C., & Garfinkel, H. (1968) · American Sociological Review · doi:10.2307/2092245 · Cited by 12,445
A simplest systematics for the organization of turn-taking for conversation
Sacks, H., Schegloff, E. A., & Jefferson, G. (1974) · Language · doi:10.2307/412243 · Cited by 11,350
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The System of Professions: An Essay on the Division of Expert Labor.
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SCHEGLOFF, E. A., & SACKS, H. (1973) · Semiotica · doi:10.1515/semi.1973.8.4.289 · Cited by 4,589
The Social Transformation of American Medicine
Leavitt, J. W., & Starr, P. (1984) · The American Historical Review · doi:10.2307/1862729 · Cited by 3,247
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Evidentiality: The Linguistic Coding of Epistemology
Leavitt, J., Chafe, W., & Nichols, J. (1991) · Language · doi:10.2307/415546 · Cited by 1,612
Hall, J., Roter, D., & Junghans, B. (1995) · Clinical and Experimental Optometry · doi:10.1111/j.1444-0938.1995.tb00792.x · Cited by 648
Cited by
Epistemics in Action: Action Formation and Territories of Knowledge
Heritage, J. (2012) · Research on Language and Social Interaction · doi:10.1080/08351813.2012.646684 · Cited by 1,639
Robinson, J. D. (2003) · Health Communication · doi:10.1207/s15327027hc1501_2 · Cited by 393
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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
Metadata
- Authors
- Perakyla, A.
- Venue
- Social Psychology Quarterly
- Publisher
- SAGE Publications
- Published
- 1998-12
- Volume
- 61
- Issue
- 4
- Pages
- 301
- ISSN
- 0190-2725 (ISSN-L)
- OpenAlex
- W2324517134
- Cited by
- 357
- References
- 21
- FWCI
- 7.96
- Type
- journal article
- Language
- en
- Open access
- closed
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