By John Heritage, Douglas W. Maynard

Offering a accomplished dialogue of conversation among medical professionals and sufferers in fundamental care consultations, this quantity brings jointly a staff of top members from the fields of linguistics, sociology and drugs to explain each one section of the first care session. The authors use dialog research suggestions to investigate the sequential unfolding of a trip and describe the dilemmas and conflicts confronted via physicians and sufferers as they paintings during the stopover at. the result's a view of the clinical come upon that unearths the point of view of either physicians and sufferers rationally. .

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Extra resources for Communication in Medical Care: Interaction Between Primary Care Physicians and Patients

Sample text

However, the purpose of these classifications is not to identify each section of a medical visit exhaustively. And it is not to claim that each of these sections will always occur in the same order in each and every acute primary care visit. Still less should it be an objective to force the analysis in terms of these sections, not least because, for example, the parties may well break out of and return to particular activities, reopen them and reinstate task orientations that they had previously treated as complete.

And in ¨ a¨ describes the different ways in which the his contribution, Perakyl articulation of diagnoses can manage the balance between authority and accountability that is intrinsic to the practice of contemporary medicine. Just as clinicians’ questions are designed with sensitivities to the medical and interactional exigencies “in play,” so too are patients’ responses. Heritage and Robinson show that problem presentations are designed with distinctive trajectories that are sensitive to whether the problem is new, recurrent, or routine.

If interaction analysis can show the ways in which physicians and patients, distanced in terms of official expertise yet bound in the communicational sphere, manage the practice of primary care, then much can be done not only to improve the scientific understanding of medical practice but also to improve it. 2 Soliciting patients’ presenting concerns Jeffrey D. Robinson Although patients may have multiple concerns, their visits with primary care physicians are typically arranged for, and organized around, particular reasons.

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