Application of "conversation analysis" method in recognizing the patient-centered pattern in physician-patient interaction
Subject Areas : sociology
Sajad
Mombeini
1
(Ph.D. Student in Sociology at KHU)
Alireza
Ghobadi
2
(Ph.D. in Sociology, Assistant Professor at Department of Sociology at KHU)
Keywords: Conversation Analyze, Doctor- Patient Interaction, Patient- Centered Model,
Abstract :
The present study intends to explore the application of conversation analysis method in recognizing the patient-centered pattern in a physician-patient interaction. For this purpose, a research was conducted with a qualitative approach and conversation analysis method. In this regard, four medical examination sessions between four patient-physician couples were recorded and implemented as a text. The main body of the texts was selected and analyzed by conversation analysis method. As a result of the analyzes applied to the texts, 4 basic rules (corresponding placement of utterances, familiarization, word expansion and marking) were extracted. These rules, which are all characteristics of a personal and intimate interaction, showed that the medical interaction studied was patient-centered. Also, a three-step process was extracted as a model governing a patient-centered interaction. The results of the analysis showed that the conversation analysis method was able to discover and explain the pattern governing physician-patient interactions and how to construct it through face-to-face text analysis.
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. Blaky, N. (2017); Research Paradigms in Humanities, translated by Hamidreza Hassani et al., Tehran: Institute of Hozeh and University Researches.
health care setting and its impact on care, J FamPract, 53: 721–730.
6- Chien-Yu, CH. (2010), The analysis of communication problems andlanguage barriers between patients and physicians in California, Chung Shan Medical University, for the Degree Master of Science.
ethically permissible?, Journal of family practice, Vol.52.
30- Cordella, M. (2007) Unveiling stories to the oncologist: a matter of sharing
and healing. Panace, Ix, (26), 230-238.