IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v53y2001i5p639-656.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(00)00366-X
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. 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).
    2. 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.
    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.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:53:y:2001:i:5:p:639-656. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.