Communication in Medical Care: Interaction between Primary Care Physicians and Patients

by Edited by John Heritage , Douglas W. Maynard

• ISBN13: 9780521628990
• ISBN10: 0521628997
• Edition: 1st
• Format: Paperback
• Copyright: 2006-07-24
• Publisher: Cambridge University Press

Summary

This new and pathbreaking volume provides a comprehensive discussion of communication between doctors and patients in primary care consultations. The first of its kind for thirty years, it brings together a team of leading contributors from the fields of linguistics, sociology and medicine to describe each phase of the primary care consultation, identifying the distinctive tasks, goals and activities that make up each phase of primary care as social interaction. Using conversation analysis techniques, the authors analyze the sequential unfolding of a visit, and describe the dilemmas and conflicts faced by physicians and patients as they work through each of these activities. The result is a view of the medical encounter that takes the perspective of both physicians and patients in a way that is both rigorous and humane. Clear and comprehensive, this book will be essential reading for students and researchers in sociolinguistics, communication studies, sociology, and medicine.

Table of Contents

1. Introduction: analyzing interaction between doctors and patients in primary care encounters John Heritage and Douglas W. Maynard

2. Soliciting patients' presenting concerns Jeffrey Robinson

3. Accounting for the visit: giving reasons for seeking medical care John Heritage and Jeffrey Robinson

4. Realizing the illness: patients' narratives of symptom discovery Tim Halkowski

5. Explaining illness: patients' proposals and physicians' responses Virginia Gill and Douglas W. Maynard

6. Taking the history: questioning during comprehensive history taking Elizabeth Boyd and John Heritage

7. Body work: the collaborative production of the clinical object Christian Heath

8. Communicating and responding to diagnosis Anssi Perä

kylä

9. On diagnostic rationality: bad news, good news, and the symptom residue Douglas W. Maynard and Richard M. Frankel

10. Treatment decisions: negotiations between doctors and patients in acute care encounters Tanya Stivers

11. Prescriptions and prescribing: co-ordinating talk and text-based activities David Greatbach

12. Lifestyle discussions in medical interviews Marja-Leena Sorjonen, Liisa Raevaara, Markku Haakana, Tuukka Tammi and Anssi Perä

kylä

13. Co-ordinating closings in medical interviews: producing continuity of care Candace West

14. Mis-alignments in 'after-hours' calls to a British GP's practice: a study in telephone medicine Paul Drew.