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Closing medical encounters: two physician practices and their implications for the expression of patients' unstated concerns

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  • Robinson, Jeffrey D.

Abstract

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.

Suggested Citation

  • Robinson, Jeffrey D., 2001. "Closing medical encounters: two physician practices and their implications for the expression of patients' unstated concerns," Social Science & Medicine, Elsevier, vol. 53(5), pages 639-656, September.
    • Handle: RePEc:eee:socmed:v:53:y:2001:i:5:p:639-656
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    Cited by:

    1. Allwood, Rebecca & Pilnick, Alison & O'Brien, Rebecca & Goldberg, Sarah & Harwood, Rowan H. & Beeke, Suzanne, 2017. "Should I stay or should I go? How healthcare professionals close encounters with people with dementia in the acute hospital setting," Social Science & Medicine, Elsevier, vol. 191(C), pages 212-225.
    2. Jin, Ying & Kim, Younhee, 2022. "Dietary advice in chronic care: Comparing traditional Chinese and western medicine practiced in mainland China," Social Science & Medicine, Elsevier, vol. 292(C).
    3. Park, Yujong, 2013. "Negotiating last-minute concerns in closing Korean medical encounters: The use of gaze, body and talk," Social Science & Medicine, Elsevier, vol. 97(C), pages 176-191.
    4. Anna Spagnolli & Giulia Cenzato & Luciano Gamberini, 2023. "Modeling the Conversation with Digital Health Assistants in Adherence Apps: Some Considerations on the Similarities and Differences with Familiar Medical Encounters," IJERPH, MDPI, vol. 20(12), pages 1-18, June.
    5. Sterponi, Laura & Zucchermaglio, Cristina & Fatigante, Marilena & Alby, Francesca, 2019. "Structuring times and activities in the oncology visit," Social Science & Medicine, Elsevier, vol. 228(C), pages 211-222.

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