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

doi:10.1017/CBO9780511607172

This 2006 volume provides a comprehensive discussion of communication between doctors and patients in primary care consultations. 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.

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Contents

Frontmatter
pp i-iv
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Contents
pp v-vi
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List of figures
pp vii-vii
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List of tables
pp viii-viii
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List of contributors
pp ix-x
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Foreword
pp xi-xiii
- By Debra Roter, Professor, School of Public Health, Johns Hopkins University, USA
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List of transcript symbols
pp xiv-xx
- By John Heritage, Professor of Sociology, University of California, Los Angeles, Douglas W. Maynard, Professor of Sociology, University of Wisconsin-Madison
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1 - Introduction: Analyzing interaction between doctors and patients in primary care encounters
pp 1-21
- By John Heritage, Professor of Sociology, University of California, Los Angeles, Douglas W. Maynard, Professor of Sociology, University of Wisconsin-Madison
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2 - Soliciting patients' presenting concerns
pp 22-47
- By Jeffrey D. Robinson, Professor, Department of Communication, Rutgers University, USA
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3 - Accounting for the visit: giving reasons for seeking medical care
pp 48-85
- By John Heritage, Professor of Sociology, University of California, Los Angeles, Jeffrey D. Robinson, Professor, Department of Communication, Rutgers University, USA
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4 - Realizing the illness: patients' narratives of symptom discovery
pp 86-114
- By Timothy Halkowski, Professor, Department of Communication, State University of New York at Albany, USA
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5 - Explaining illness: patients' proposals and physicians' responses
pp 115-150
- By Virginia Teas Gill, Professor, Department of Sociology, Illinois State University, USA, Douglas W. Maynard, Professor of Sociology, University of Wisconsin-Madison
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6 - Taking the history: questioning during comprehensive history-taking
pp 151-184
- By Elizabeth Boyd, Professor, Department of Clinical Pharmacy, University of California, San Francisco, USA, John Heritage, Professor of Sociology, University of California, Los Angeles
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7 - Body work: the collaborative production of the clinical object
pp 185-213
- By Christian Heath, Professor, Centre for Work, Interaction and Technology, King's College, University of London, UK
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8 - Communicating and responding to diagnosis
pp 214-247
- By Anssi Peräkylä, Professor, Department of Sociology, University of Helsinki, Finland
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9 - On diagnostic rationality: bad news, good news, and the symptom residue
pp 248-278
- By Douglas W. Maynard, Professor of Sociology, University of Wisconsin-Madison, Richard M. Frankel, Professor, Department of General Internal Medicine, Indiana University School of Medicine, USA
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10 - Treatment decisions: negotiations between doctors and patients in acute care encounters
pp 279-312
- By Tanya Stivers, Dr., Max Planck Institute for Psycholinguistics, Netherlands
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11 - Prescriptions and prescribing: coordinating talk- and text-based activities
pp 313-339
- By David Greatbatch, Professor, Department of Education, University of Nottingham, UK
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12 - Lifestyle discussions in medical interviews
pp 340-378
- By Marja-Leena Sorjonen, Dr., Research Institute for the Languages of Finland, Helsinki, Finland, Liisa Raevaara, Dr., Research Institute for the Languages of Finland, Helsinki, Finland, Markku Haakana, Dr., Department of Finnish, University of Helsinki, Finland, Tuukka Tammi, Dr., Department of Sociology, University of Helsinki, Finland, Anssi Peräkylä, Professor, Department of Sociology, University of Helsinki, Finland
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13 - Coordinating closings in primary care visits: producing continuity of care
pp 379-415
- By Candace West, Professor, Department of Sociology, University of California, Santa Cruz, USA
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14 - Misalignments in “after-hours” calls to a British GP's practice: a study in telephone medicine
pp 416-444
- By Paul Drew, Professor, Department of Sociology, York University, UK
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References
pp 445-480
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Subject index
pp 481-483
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Name index
pp 484-488
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Communication in Medical Care

Interaction between Primary Care Physicians and Patients

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Contents

Frontmatter
pp i-iv

Contents
pp v-vi

List of figures
pp vii-vii

List of tables
pp viii-viii

List of contributors
pp ix-x

Foreword
pp xi-xiii

List of transcript symbols
pp xiv-xx

1 - Introduction: Analyzing interaction between doctors and patients in primary care encounters
pp 1-21

2 - Soliciting patients' presenting concerns
pp 22-47

3 - Accounting for the visit: giving reasons for seeking medical care
pp 48-85

4 - Realizing the illness: patients' narratives of symptom discovery
pp 86-114

5 - Explaining illness: patients' proposals and physicians' responses
pp 115-150

6 - Taking the history: questioning during comprehensive history-taking
pp 151-184

7 - Body work: the collaborative production of the clinical object
pp 185-213

8 - Communicating and responding to diagnosis
pp 214-247

9 - On diagnostic rationality: bad news, good news, and the symptom residue
pp 248-278

10 - Treatment decisions: negotiations between doctors and patients in acute care encounters
pp 279-312

11 - Prescriptions and prescribing: coordinating talk- and text-based activities
pp 313-339

12 - Lifestyle discussions in medical interviews
pp 340-378

13 - Coordinating closings in primary care visits: producing continuity of care
pp 379-415

14 - Misalignments in “after-hours” calls to a British GP's practice: a study in telephone medicine
pp 416-444

References
pp 445-480

Subject index
pp 481-483

Name index
pp 484-488

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Communication in Medical Care

Interaction between Primary Care Physicians and Patients

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