Closing medical encounters: two physician practices and their implications for the expression of patients' unstated concerns
Closing medical encounters: two physician practices and their implications for the expression of patients' unstated concerns
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DOI：
10.1016/s0277-9536(00)00366-x
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发表时间：
2001-09-01
影响因子：
5.4
通讯作者：
Robinson, JD
中科院分区：
文献类型：
--
作者：
Robinson, JD
当患者去看初级保健医生时，他们经常有不止一个问题。医生在就诊之初就询问患者最关心的问题。医疗保健面临的挑战是如何让患者提出额外的担忧作为讨论话题。如果患者的其他担忧得到解决，它往往会在就诊结束时发生。使用对话分析的方法。本文确定并描述了两种由医生发起的沟通实践的互动组织，这些实践用于协商结束会面业务并过渡到结束会面活动本身。这些做法对于患者额外关注的主题化有不同的影响。 (C) 2001 Elsevier Science Ltd. 保留所有权利。
When patients visit primary-care physicians, they frequently have more than one concern. Patients' first concerns are solicited by physicians at the beginnings of encounters. A challenge to health care is how to get patients' additional concerns raised as topics of discussion. If patients' additional concerns are addressed, it tends to occur at the end of encounters. Using the methodology of conversation analysis. this article identifies and describes the interactional organization of two physician-initiated communication practices that are used to negotiate the closure of the business of encounters and a transition into the activity of closing encounters themselves. These practices have different implications for the topicalization of patients' additional concerns. (C) 2001 Elsevier Science Ltd. All rights reserved.