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Articles

Conversation Analysis of Communication in Medical Care: Description and Beyond

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  • Allwood, R., Pilnick, A., O’Brien, R., Goldberg, S., Harwood, R., & Beeke, S. (2017). Should I stay or should I go? How healthcare professionals close encounters with people with dementia in the acute hospital. Social Science and Medicine, 191, 212–225. doi:10.1016/j.socscimed.2017.09.014
  • Antaki, C. (2011). Six kinds of applied conversation analysis. In C. Antaki (Ed.), Applied conversation analysis: Intervention and change in institutional talk (pp. 1–14). Basingstoke, England: Palgrave Macmillan.
  • ARCH Corpus of Health Interactions. (2017). Retrieved from https://www.otago.ac.nz/wellington/research/arch/corpus/
  • Bailey, A. J. M. (1979). Home visiting: The part played by the intermediary. Journal of the Royal College of General Practitioners, 29, 137–142.
  • Balint, M. (1957). The doctor, his patient and the illness. London, England: Churchill Livingstone.
  • Balint, M., Hunt, J., Joyce, D., Marinker, M., & Woodcock, J. (1970). Treatment or diagnosis: A study of repeat prescriptions in general practice. London, England: Tavistock publications.
  • Barnes, R. K. (2005). Conversation analysis: A practical resource in the health care setting. Medical Education, 39, 113–115. doi:10.1111/j.1365-2929.2004.02037.x
  • Barnes, R. K. (2017). One in a million: A study of primary care consultations. doi:10.5523/bris.l3sq4s0w66ln1x20sye7s47wv
  • Barnes, R. K. (2018). Preliminaries to treatment recommendations in UK primary care: A vehicle for shared decision-making? Health Communication, 33, 1366–1376. doi:10.1080/10410236.2017.1350915
  • Barnes, R. K., Jepson, M., Thomas, C., Jackson, S., Metcalfe, C., Kessler, D., & Cramer, H. (2018, June). Using conversation analytic methods to assess fidelity to a talk-based healthcare intervention for frequently attending patients. Social Science and Medicine, 206, 38–50. doi:10.1016/j.socscimed.2018.04.008
  • Beach, W. A. (2001). Lay diagnosis. Special Issue. Text, 21(1/2), 13–268.
  • Beach, W. A. (Ed.). (2013a). Handbook of patient-provider interactions: Raising and responding to concerns about life, illness and disease. New York, NY: Hampton Press Inc.
  • Beach, W. A. (Ed.). (2013b). Introduction. In Handbook of patient-provider interactions: Raising and responding to concerns about life, illness and disease (pp. 1–18). New York, NY: Hampton Press Inc.
  • Beach, W. A. (2018). “Tiny tiny little nothings”: Minimization and reassurance in the face of cancer, health communication. DOI:10.1080/10410236.2018.1536945
  • Bergen, C., Stivers, T., Barnes, R. K., Heritage, J., McCabe, R., Thompson, L., & Toerien, M. (2018). Closing the deal: A cross-cultural comparison of treatment resistance. Health Communication. doi:10.1080/10410236.2017.1350917
  • Byrne, P. S. (1976). Teaching and learning verbal behaviours. In B. Tanner (Ed.), Language and communication in general practice (pp. 52–70). London, England: Hodder and Stoughton.
  • Byrne, P. S., & Long, B. E. L. (1976). Doctors talking to patients: A study of the verbal behaviours of doctors in the consultation. London, England: Her Majesty’s Stationary Office.
  • Cassell, E. (1985). Talking with patients: Vol. II Clinical technique. Cambridge, MA: MIT Press.
  • Chappell, P., Toerien, M., Jackson, C., & Reuber, M. (2018). Following the patient’s orders? Recommending vs. offering choice in neurology outpatient consultations. Social Science and Medicine, 205, 8–16. doi:10.1016/j.socscimed.2018.03.036
  • Clyne, M. B. (1961). Night calls: A study in general practice. London, England: Tavistock Publications.
  • Cortez, D., Maynard, D. W., & Campbell, T. (2019). Creating space to discuss end-of-life issues in cancer care. Special issue: End of life. Patient Education and Counseling, 102(2), 216–222. doi:10.1016/j.pec.2018.07.002
  • Donabedian, A. (1967). Evaluating the quality of medical care. Millbank Memorial Fund Quarterley, 444, 166–206.
  • Dooley, J., Bass, N., Livingston, G., & McCabe, R. (2018). Involving patients with dementia in decisions to initiate treatment: Effect on patient acceptance, satisfaction and medication prescription. The British Journal of Psychiatry, 1–5. doi:10.1192/bjp.2018.201
  • Drew, P., Chatwin, J., & Collins, S. (2001). Conversation analysis: A method for research into interactions between patients and health-care professionals. Health Expectations, 4(1), 58–71. doi:10.1046/j.1369-6513.2001.00125.x
  • Drew, P., & Sorjornen, M.-L. (1997). Institutional dialogue. In T. A. Van Dijk (Ed.), Discourse as social interaction. Discourse studies: A multidisciplinary introduction (Vol. 2, pp. 92–118). London, England: Sage Publications.
  • Ekberg, S., Danby, S., Herbert, A., Bradford, N. K., & Yates, P. (2018). Affording opportunities to discuss deterioration in paediatric palliative care consultations: A conversation analytic study. BMJ Supportive & Palliative Care. Published Online First: 07 March 2017. doi:10.1136/bmjspcare-2016-001130
  • Ekberg, S., Danby, S., Rendle-Short, J., Herbert, A., Bradford, N. K., & Yates, P. (2019). Discussing death: Making end of life implicit or explicit in paediatric palliative care consultations. Patient Education and Counseling, 102(2), 198–206. doi:10.1016/j.pec.2018.08.014
  • Elsey, C., Drew, P., Jones, D., Blackburn, D., Wakefield, S., Harkness, K., … Reuber, M. (2015). Towards diagnostic conversational profiles of patients presenting with dementia or functional memory disorders to memory clinics. Patient Education and Counseling, 98, 1071–1077. doi:10.1016/j.pec.2015.05.021
  • Friedman, H. S. (1979). Non-verbal communication between patients and medical practitioners. Journal of Social Issues, 35(1), 82–99. doi:10.1111/josi.1979.35.issue-1
  • Gill, V. T., & Roberts, F. (2013). Conversation analysis in medicine. In J. Sidnell & T. Stivers (Eds.), The handbook of conversation analysis (pp. 575–592). Oxford, England: Wiley-Blackwell.
  • Goffman, E. (1964). The neglected situation. American Anthropologist, 66(6_PART2), 133–136. doi:10.1525/aa.1964.66.suppl_3.02a00090
  • Gutzmer, K., & Beach, W. A. (2015). ‘Having an ovary this big is not normal’: Physicians’ use of normal to assess wellness and sickness during oncology interviews. Health Communication, 30(1), 8–18. doi:10.1080/10410236.2014.881176
  • Heath, C. (1986). Body movement and speech in medical interaction. Cambridge, England: Cambridge University Press.
  • Heath, C. (1992). Diagnosis and assessment in the medical consultation. In P. Drew & J. Heritage (Eds.), Talk at work: Interaction in institutional settings (pp. 235–267). Cambridge, England: Cambridge University Press.
  • Heritage, J. (1999). CA at century’s end: Practices of talk-in-interaction, their distributions and their outcomes. Research on Language and Social Interaction, 32, 69–76.
  • Heritage, J. (2009). Conversation analysis as social theory. In B. S. Turner (Ed.), The new Blackwell companion to social theory (pp. 300–320). Oxford, England: Blackwell Publishing Ltd. doi:10.1002/9781444304992.ch15
  • Heritage, J. (2011). The interaction order and clinical practice: Some observations on dysfunctions and action steps. Patient Education and Counseling, 84, 338–343. doi:10.1016/j.pec.2011.05.022
  • Heritage, J. (2013). Foreword. In W. Beach (Ed.), Handbook of patient-provider interactions: Raising and responding to concerns about life, illness and disease (pp. xi–xii). New York, NY: Hampton Press Inc.
  • Heritage, J., & Maynard, D. (2006a). Problems and prospects in the study of physician-patient interaction: 30 years of research. Annual Review of Sociology, 32, 351–374. doi:10.1146/annurev.soc.32.082905.093959
  • Heritage, J., & Maynard, D. (Eds.). (2006b). Communication in medical care: Interactions between primary care physicians and patients. Cambridge, England: Cambridge University Press.
  • Heritage, J., & McArthur, A. (2019). The diagnostic moment: A study in US primary care. Social Science and Medicine, 228, 268–271. doi:10.1016/j.socscimed.2019.03.022
  • Heritage, J., & Robinson, J. (2006a). Accounting for the visit. In J. Heritage & D. W. Maynard (Eds.), Communication in medical care: Interactions between primary care physicians and patients (pp. 48–85). Cambridge, England: Cambridge University Press.
  • Heritage, J., & Robinson, J. (2006b). The structure of patients’ presenting concerns: Physicians’ opening questions. Health Communication, 19(2), 89–102. doi:10.1207/s15327027hc1902_1
  • Heritage, J., & Robinson, J. D. (2011). ‘Some’ versus ‘Any’ medical issues: Encouraging patients to reveal their unmet concerns. In C. Antaki (Ed.), Applied conversation analysis (pp. 15–31). London, England: Palgrave Macmillan.
  • Heritage, J., Robinson, J. D., Elliott, M. N., Beckett, M., & Wilkes, M. (2007). Reducing patients’ unmet concerns in primary care: The difference one word can make. Journal of General Internal Medicine, 22(10), 1429–1433. doi:10.1007/s11606-007-0279-0
  • Hofstetter, A. M., Robinson, J. D., Lepere, K., Cunningham, M., Etsekson, N., & Opel, D. J. (2017). Clinician-parent discussions about influenza vaccination of children and their association with vaccine acceptance. Vaccine, 35, 2709–2715. doi:10.1016/j.vaccine.2017.03.077
  • Jenkins, L., & Reuber, M. (2014). A conversation analytic intervention to help neurologists identify diagnostically relevant linguistic features in seizure patients’ talk. Research on Language and Social Interaction, 47(3), 266–279. doi:10.1080/08351813.2014.925664
  • Jepson, M., Salisbury, C., Ridd, M., Metcalfe, C., Garside, L., & Barnes, R. K. (2017). The ‘One in a Million’ study: Creating a database of UK primary care consultations. British Journal of General Practice, 67, e345–e351. doi:10.3399/bjgp17X690521
  • Kendrick, K., & Drew, P. (2016). Recruitment: Offers, requests, and the organization of assistance in interaction. Research on Language and Social Interaction, 49, 1–19. doi:10.1080/08351813.2016.1126436
  • Korsch, B. M., Gozzi, E. K., & Francis, V. (1968). Gaps in doctor-patient communication: I. Doctor-patient interaction and patient satisfaction. Pediatrics, 42, 855–871.
  • Korsch, B. M., & Negrete, V. F. (1972). Doctor-patient communication. Scientific American, 227, 66–74.
  • Land, V., Parry, R., Pino, M., Jenkins, L., Feathers, L., & Faull, C. (2018). Addressing possible problems with patients’ expectations, plans and decisions for the future: One strategy used by experienced clinicians in advance care planning conversations. Patient Education and Counselling. doi:10.1016/j.pec.2018.11.008
  • Leydon, G., Stuart, B., Summers, R. H., Little, P., Ekberg, S., Stevenson, F., & Moore, M. V. (2018). Findings from a feasibility study to improve GP elicitation of patient concerns in UK general practice consultations. Patient Education and Counselling, 101, 1394–1402. doi:10.1016/j.pec.2018.03.009
  • Mangione-Smith, R. The DART trial (Dialogue around respiratory illness treatment: Optimizing communication with parents). Retrieved from https://clinicaltrials.gov/ct2/show/NCT02943551
  • Mangione-Smith, R., Zhou, C., Robinson, J. D., Taylor, J. A., Elliott, M. N., & Heritage, J. (2015). Communication practices and antibiotic use for acute respiratory tract infections in children. Annals of Family Medicine, May/ June, 13, 221–227. doi:10.1370/afm.1785
  • Maynard, D. W., Cortez, D., & Campbell, T. C. (2016). End of life conversations, appreciation sequences, and the interaction order in cancer clinics. Patient Education and Counseling, 99, 92–100. doi:10.1016/j.pec.2016.07.004
  • McArthur, A. (2018). Getting pain on the table in primary care physical exams. Social Science & Medicine, 200, 190–198. doi:10.1016/j.socscimed.2018.01.012
  • Mishler, E. G. (1984). The discourse of medicine: Dialectics of medical interviews. Norwood, NJ: Ablex.
  • Murdoch, J., Barnes, R. K., Pooler, J., Campbell, J., Lattimer, V., Fletcher, E., & Campbell, J. L. (2014). Question design in nurse and GP-Led telephone triage for same-day appointment requests: A comparative investigation. BMJ Open, 4, e004515. doi:10.1136/bmjopen-2013-004515
  • Murdoch, J., Barnes, R. K., Pooler, J., Lattimer, V., Fletcher, E., & Campbell, J. L. (2015). The impact of using computer decision-support software in primary care nurse-led telephone triage: Interactional dilemmas and conversational consequences. Social Science & Medicine, 126, 36e47. doi:10.1016/j.socscimed.2014.12.013
  • NHS Digital. (2018) Data on written complaints in the NHS 2017-18. Health and Social Care Information Centre. Retrieved from https://files.digital.nhs.uk/5B/D86467/Data%20on%20Written%20Complaints%20in%20the%20NHS%202017-18%20Report.pdf
  • Nielsen, S. B. (2018). ‘If you don’t get better, you may come back here’: Proposing conditioned follow-ups to the doctor’s office. Text & Talk, 38(2), 217–242. doi:10.1515/text-2017-0038
  • O’Brien, R., Goldberg, S. E., Pilnick, A., Beeke, S., Schneider, J., Sartain, K., … Fuh, J.-L. (2018). The VOICE study – A before and after study of a dementia communication skills training course. PLoS ONE, 13(6), e0198567. doi:10.1371/journal.pone.0198567
  • Opel, D. J., Mangione-Smith, R., Robinson, J. D., Heritage, J., DeVere, V., Salas, H. S., … Taylor, J. A. (2015). The influence of provider communication behaviors on parental vaccine acceptance and visit experience. American Journal of Public Health, 105, 1998–2004. doi:10.2105/AJPH.2014.302425
  • Parry, R. (2016) VERDIS: Video-based communication research and training in decision-making, empathy and pain management in supportive and palliative care. End of award report. Retrieved from https://www.nottingham.ac.uk/research/groups/ncare/projects/video-research.aspx
  • Parry, R., Pino, M., Faull, C., & Feathers, L. (2016). Acceptability and design of video-based research on healthcare communication: Evidence and recommendations. Patient Education and Counseling, 96, 1271–1284. doi:10.1016/j.pec.2016.03.013
  • Pendleton, D. (1983). Doctor-patient communication: A review. In D. Pendleton & J. Hasler (Eds.), Doctor-patient communication (pp. 5–56). London, England: Academic Press.
  • Peräkylä, A. (1997). Conversation analysis: A new model of research in doctor-patient communication. Journal of Research on Social Medicine, 90, 205–208. doi:10.1177/014107689709000406
  • Peräkylä, A. (1998). Authority and accountability: The delivery of diagnosis in primary health care. Social Psychology Quarterley, 61(4), 301–320. doi:10.2307/2787032
  • Peräkylä, A. (2019) Conversation analysis and psychotherapy: Identifying transformative sequences. Research on Language & Social Interaction, 52(3), 257–280.
  • Pilnick, A., Hindmarsh, J., & Gill, V. T. (2009). Beyond ‘doctor and patient’: Developments in the study of healthcare interactions. Sociology of Health & Illness, 31(6), 787–802. doi:10.1111/j.1467-9566.2009.01194.x
  • Pino, M., & Parry, R. (2019a). Talking about death and dying: Findings and insights from five conversation analytic studies. Patient Education and Counseling, 102(2), 185–187. doi:10.1016/j.pec.2019.01.011
  • Pino, M., & Parry, R. (2019b). How and when do patients request life-expectancy estimates? Evidence from hospice medical consultations and insights for practice. Patient Education and Counseling, 102(2), 223–237. doi:10.1016/j.pec.2018.03.026
  • Pino, M., Parry, R., Land, V., Faull, C., Feathers, L., & Seymour, J. (2016). Engaging terminally ill patients in end of life talk: How experienced palliative medicine doctors navigate the dilemma of promoting discussions about dying. PLoS ONE, 11(5), e0156174. doi:10.1371/journal.pone.0156174
  • Reuber, M., Toerien, M. G., Shaw, R., & Duncan, R. (2015). Delivering patient choice in clinical practice: A conversation analytic study of communication practices used in neurology clinics to involve patients in decision-making. Health Services & Delivery Research, 3(7), 1–170. doi:10.3310/hsdr03070
  • Robinson, J. D., & Heritage, J. (2014). Intervening with conversation analysis: The case of medicine. Research on Language and Social Interaction, 47(3), 201–218. doi:10.1080/08351813.2014.925658
  • Robinson, J. D., & Heritage, J. (2015). How patients understand physicians’ solicitations of additional concerns: Implications for up-front agenda setting in primary care. Health Communication, 31(4), 434–444. doi:10.1080/10410236.2014.960060
  • Robinson, J. D., & Jagsi, R. (2016). Physician-patient communication—An actionable target for reducing overly aggressive care near the end of life. JAMA Oncology, 2(11), 1407–1408. doi:10.1001/jamaoncol.2015.5778
  • Robinson, J. D., Tate, A., & Heritage, J. (2016). Agenda-Setting revisited: When and how do primary care physicians solicit patients’ additional concerns? Patient Education and Counseling, 99(5), 718–723. doi:10.1016/j.pec.2015.12.009
  • Shaw, C., Stokoe, E., Gallagher, K., Aladangady, N., & Marlow, N. (2016). Parental involvement in neonatal critical care decision‐making. Sociology of Health & Illness, 38, 1217–1242. doi:10.1111/1467-9566.12455
  • Spence, J. (1960). The purpose and practice of medicine. Oxford, England: Oxford University Press.
  • Stevenson, F., Hall, L., Seguin, M., Atherton, H., Barnes, R. K., Leydon, G., … Ziebland, S. (2019). General Practitioner use of online resources during medical visits: Managing the boundary between inside and outside the clinic. Special Issue/Monograph on ‘Digital Health: Sociological Perspectives’. Sociology of Health and Illness.
  • Stivers, T. (2005). Parent resistance to physicians’ treatment recommendations: One resource for initiating a negotiation of the treatment decision. Health Communication, 18, 41–74. doi:10.1207/s15327027hc1801_3
  • Stivers, T. (2015). Coding social interaction: A heretical approach in conversation analysis? Research on Language and Social Interaction, 48(1), 1–19. doi:10.1080/08351813.2015.993837
  • Stivers, T., & Barnes, R. K. (2018). Treatment recommendation actions, contingencies, and responses: An introduction. Health Communication, 33(11), 1331–1334. doi:10.1080/10410236.2017.1350914
  • Stivers, T., Heritage, J., Barnes, R. K., McCabe, R., Thompson, L., & Toerien, M. G. (2018). Treatment recommendations as action. Health Communication, 33(11), 1335–1344. doi:10.1080/10410236.2017.1350913
  • Stivers, T., Mangione-Smith, R., Elliott, M., McDonald, L., & Heritage, J. (2003). Online commentary during the physical examination: A communication tool for avoiding inappropriate antibiotic prescribing? Social Science and Medicine, 56(2), 313–320.
  • Tate, A. (2018). Treatment recommendations in oncology visits: Implications for patient agency and physician authority. Health Communication, 33(12), 1–11. doi:10.1080/10410236.2016.1242039
  • Toerien, M. G., Reuber, M., Duncan, R., & Shaw, R. (2018). Generating the perception of choice: The remarkable malleability of option-listing. Sociology of Health and Illness, 40, 1250–1267. doi:10.1111/1467-9566.12766
  • Toerien, M. G., Shaw, R., & Reuber, M. (2013). Initiating decision-making in neurology consultations: ‘Recommending’ versus ‘option-listing’ and the implications for medical authority. Sociology of Health and Illness, 35(6), 873–890. doi:10.1111/1467-9566.12000
  • Waitzkin, H., & Stoeckle, J. D. (1967). Information control and the micropolitics of health care: Summary of an ongoing research project. Social Science and Medicine, 10(6), 263–419. doi:10.1016/0037-7856(76)90070-6
  • Wang, N. (2017). Social determinants of antibiotic prescribing in china ( Dissertation). Retrieved from https://escholarship.org/uc/item/6bd7k6xr
  • Wheat, H., Barnes, R. K., & Byng, R. (2015). Practices used for recommending sickness certification by general practitioners: A conversation analytic study of UK primary care consultations. Social Science and Medicine, 126, 48–58. doi:10.1016/j.socscimed.2014.12.006

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