Lian, Olaug, Nettleton, Sarah orcid.org/0000-0002-5184-2764, Wifstad, Age et al. (1 more author) (2021) Modes of Interaction in Naturally Occurring Medical Encounters With General Practitioners:The “One in a Million” Study. Qualitative Health Research. pp. 1129-1143. ISSN 1552-7557
Abstract
In this article, we qualitatively explore the manner and style in which medical encounters between patients and general practitioners (GPs) are mutually conducted, as exhibited in situ in 10 consultations sourced from the One in a Million: Primary Care Consultations Archive in England. Our main objectives are to identify interactional modes, to develop a classification of these modes, and to uncover how modes emerge and shift both within and between consultations. Deploying an interactional perspective and a thematic and narrative analysis of consultation transcripts, we identified five distinctive interactional modes: question and answer (Q&A) mode, lecture mode, probabilistic mode, competition mode, and narrative mode. Most modes are GP-led. Mode shifts within consultations generally map on to the chronology of the medical encounter. Patient-led narrative modes are initiated by patients themselves, which demonstrates agency. Our classification of modes derives from complete naturally occurring consultations, covering a wide range of symptoms, and may have general applicability.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s) 2021 |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Sociology (York) |
Depositing User: | Pure (York) |
Date Deposited: | 14 Apr 2022 13:50 |
Last Modified: | 16 Oct 2024 17:19 |
Published Version: | https://doi.org/10.1177/1049732321993790 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1177/1049732321993790 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:185740 |
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Description: Modes of Interaction in Naturally Occurring Medical Encounters With General Practitioners: The “One in a Million” Study
Licence: CC-BY 2.5