A Conversation Analytic Study Of Patient Participation In Chinese Community Clinics

Active patient participation is of great importance to providing high-quality medical care. By employing the method of conversation analysis, this book has probed into patient participation in Chinese community clinics. Declarative expressions, imperative expressions, and interrogative expressions are those frequently used by patients when they participate in consultations. Patients participate in all stages of communication: history taking, diagnosis, or treatment recommendations. There are four types of social actions performed by patients when they participate in the interaction: making requests, expressing concerns, showing alignment, or showing resistance to doctors. There exist two types of initiations of patient participation in the interaction: self-initiated patient participation and doctor-initiated patient participation. Self-initiated patient participation is closely related to patient agency, while doctor-initiated patient participation indicates the influence of doctors’ communicative behaviors on the involvement of patients.

Treatment decision-making is a significant phase in outpatient interaction. Distinct formats of treatment recommendations may exert influences on both opportunities and consequences for patient participation in the process. Taking naturally occurring Chinese outpatient clinical conversations as the data and drawing from the analytic apparatuses provided by Conversation Analysis, this book represents an attempt to conduct a systematically descriptive and analytic study of the position and composition of treatment recommendations in doctor-patient interactions in Chinese outpatient clinics. By incorporating the analysis of epistemic and deontic orientations into the examination of particular linguistic resources employed to formulate the initiation, construction of, and responses to treatment recommendations, the study uncovers how Chinese doctors and patients steer the interactional trajectories of treatment decision-making through talk-in-interaction. The book can serve as a reference to the research on treatment decision-making in various kinds of Chinese medical settings. In addition, the insights from the study could provide a reference for understanding how Chinese doctors’ medical authority and patients’ agency are generally executed, challenged, and sustained via talk in the new era of patient-centered medical care.

Drawing on naturally occurring doctor– patient conversations in real- life medical consultations, this book analyzes the similarities and differences in doctor– patient communication and patient satisfaction between traditional Chinese medicine (TCM) and Western medicine (WM) practiced in China. Little research is available looking at WM being practiced in Asian countries, and misunderstanding about Eastern medicines such as TCM can result in unwarranted claims and suspicions. This volume contributes to research on doctor– patient communication by exploring the communication behaviors between doctors and older patients who are able to communicate independently in both TCM and WM practiced in mainland China and evaluating patient satisfaction with their medical experiences. The book reports findings and insights from three independent and methodologically diverse studies, drawing on data from 69 real- life medical consultations: 30 from TCM and 39 from WM. Using conversation analysis, the Roter Interaction Analysis System, and both quantitative and qualitative methods, Ying Jin examines the differences between TCM and WM to help reveal the dynamics of doctor– patient interactions, the contextual details, and the impact of the clinical culture on medical communication. This insightful book will appeal to scholars and students from linguistics, language, and health communication as well as medical practitioners interested in doctor– patient communication and intercultural communication. The findings reported here will shine a light on the relationship between clinical differences, health communication, and patient outcomes.

This collection makes the case for existing critical discourse analysis theory and methods to meaningfully engage with the communicative parameters, power dynamics, and technological affordances of contemporary digital spaces. This book lends a critical focus on discursive practices operating through the paradigm of social media communication, addressing the crucial interface of discourse and the participatory web with disciplinary rigour and a well-balanced focus. This volume features chapters highlighting a diverse range of methods, including multi-sited ethnography, multimodality, argumentation studies, and topic modelling, as applied to a global range of case studies to present a holistic portrait of the latest methodological and theoretical debates in this space. The collection demonstrates the many and pervasive impacts of digital mediation on established discursive practices that are (re-)shaping existing social values, practices, and demands. In so doing, the collection advocates for a new tradition in critical discourse research, one which is rigorous in accounting for both solid discursive frameworks and the evolving complexity of digital platforms, and which triangulates methodologies in order to fully make sense of contemporary discursive practices and power relations on the online–offline continuum. This collection will be of interest to students and scholars in critical discourse studies, digital communication, media studies, and anthropology.

Issues in Sociology and Social Work—Aging, Medical, and Missionary Research and Application: 2012 Edition is a ScholarlyEditions™ eBook that delivers timely, authoritative, and comprehensive information about Social Science. The editors have built Issues in Sociology and Social Work—Aging, Medical, and Missionary Research and Application: 2012 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Social Science in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Sociology and Social Work—Aging, Medical, and Missionary Research and Application: 2012 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

Language, Health and Culture brings together contributions by linguistic scholars working in the area of health communication in Asia—in particular, in Hong Kong, Mainland China, Singapore, Japan and Taiwan. Olga Zayts-Spence and Susan M. Bridges, along with the contributors, draw on a diverse range of authentic data from different (primary, secondary, digital) healthcare contexts across Asia. The contributions probe empirical analyses and meta-reflections on the empirical, epistemological and theoretical foundations of doing research on language and health communication in Asia. While many of the medical and technological advances originate from the ‘non-English-dominant’/‘peripheral’ contexts, when it comes to health communication, there is a strong tendency to downplay and marginalize the scope and the impact of the ripe research tradition in these contexts. The contributions to the edited volume problematize the hegemony of dominant (Anglocentric) traditions in health communication research by highlighting culture- and context-specific ways of interpreting different health realities through linguistic lenses.

It is now widely agreed that in latter part of the 20th century sociology has taken a 'linguistic turn'. One of the approaches to emerge out of the linguistic turn is conversation analysis, which is now recognized as one of the most distinctive and genuinely original approaches to the study of language, communication and social interaction to have emerged during the last forty years. Research in conversation analysis over the past 30 years has shown how these and other technical aspects of talk-in-interaction are structured, socially organized resources - or methods - whereby participants perform and coordinate activities through talking together. Conversational interaction is the primordial site of human sociality. Thus these methods are the technical bedrock on which people build their social lives, and construct their social relations with one another. This comprehensive collection, brought together by two of the leading figures in conversation analysis, will be indispensable to researchers in not only linguistics but sociology, social psychology, communications, and health sciences whose work involved the language and linguistic features of social action.

Social change has placed new demands on the practice of medicine, altering almost every aspect of patient care relationships. Just as medicine was encouraged to embrace the biological sciences some 100 years ago, recent directives indicate the importance of the social sciences in understanding biomedical practice. Humanistic challenges call for changes in curative and technological imperatives. In this book, social scientists contribute to such challenges by using social evidence to indicate appropriate new goals for health care in a changing environment. This book was designed to stimulate and challenge all those concerned with the human interactions that constitute medical practice. To encompass a wide range of topics, the authors include researchers; practicing physicians from the specialties of family, general, geriatric, pediatric, and oncological medicine; social and behavioral scientists; and public health representatives. Cutting across disciplinary boundaries, they explore the ethical, economic, and social aspects of patient care. These essays draw on past studies of the patient-doctor relationship and generate new and important questions. They address social behavior in patient care as a way to approach theoretical issues pertinent to the social and medical sciences. The authors also use social variables to study patient care and suggest new areas of sociomedical inquiry and new approaches to medical practice, education, and research. Its cross-disciplinary approach and jargon-free writing make this book an important and accessible tool for physician, scholar, and student.

Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.

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