Doctor-patient communication in Chinese and western medicine / Ying Jin.

Format:

Book

Author/Creator:

Jin, Ying (Of the Hong Kong Polytechnic University), author.

Series:

Routledge Studies in Language, Health and Culture

Language:

English

Subjects (All):

Physician and patient.

Physical Description:

1 online resource (185 pages)

Place of Publication:

Abingdon, Oxon, England ; New York, New York : Routledge, [2022]

Summary:

"Drawing on naturally-occurring doctor-patient conversations in real-life medical consultations, this book analyses the similarities and differences in doctor-patient communication and patient satisfaction between traditional Chinese medicine (TCM) and western medicine (WM) practiced in China. Little research is available looking at WM being practiced in Asian countries and misunderstanding about eastern medicines such as TCM can result in unwarranted claims and suspicions. This volume contributes to research on doctor-patient communication by exploring the communication behaviors between doctors and older patients who are able to communicate independently in both Traditional Chinese Medicine (TCM) and Western Medicine (WM) practiced in Mainland China and evaluating patient satisfaction of their medical experiences. The book reports findings and insights from three independent and methodologically diverse studies, drawing on data from sixty-nine real-life medical consultations: 30 from TCM and 39 from WM. Using Conversation analysis, Roter Interaction Analysis System and both quantitative and qualitative methods, Ying Jin examines the differences between TCM and WM to help reveal the dynamics of doctor-patient interactions, the contextual details, and the impact of the clinical culture on medical communication. This insightful book will appeal to scholars and students from linguistics, language and health communication as well as medical practitioners interested in doctor-patient communication, and intercultural communication. The findings reported here will shine a light into the relationship between clinical differences, health communication, and patient outcomes"-- Provided by publisher.

Contents:

Cover

Half Title

Series Information

Title Page

Copyright Page

Dedication

Table of Contents

Figures

Tables

Acknowledgments

1 Medical Coexistence

1.1 Overview: Communication and Medicine

1.2 Medical Coexistence in China

1.2.1 Chinese Medicine: Traditions, Theories, and Therapeutic Methods

1.2.2 Integrating TCM and WM: Medical Dualism in China

1.3 Organization of the Book

References

2 Preliminaries and Methodology

2.1 Doctor-older Patient Communication and Patient Satisfaction

2.1.1 From Doctor-Centric to Patient-Centered

2.1.2 Features of Doctor-Older Patient Communication

2.2 A Critique of Current Studies in Doctor-Older Patient Communication

2.2.1 Insufficient Understanding of Medical Interactions in Regular Chronic Visits

2.2.2 Insufficient Understanding of Medical Interactions in TCM and WM

2.2.3 Extending Current Research in TCM and WM Practiced in China

2.3 Data Sources and Transcription Conventions

2.4 Methodology Used for Three Separate Studies

2.4.1 Process/interaction Analysis

2.4.2 Evaluating Patient Satisfaction

2.4.3 Conversation Analysis

2.4.4 Frame Analysis

2.5 Summary

3 Interaction Analysis

3.1 Introduction

3.2 Coding Conventions and Calculation of Utterances

3.3 Results

3.3.1 Some Descriptives of Doctor-patient Communication

3.3.2 Doctor's Verbal Dominance and Patient-Centeredness

3.4 Commonalities Between TCM and WM

3.4.1 Doctor's Dominance and Patient Passivity in Asking Questions

3.4.2 Patients' High Level of Agreement

3.4.3 Concentration On Biomedical Discussions

3.4.4 Doctors' Use of Backchannels and Directive Statements

3.5 Differences Between TCM and WM

3.5.1 Content of Questions and Information-Giving

3.5.2 Social Talk and Emotional Alignment.

3.5.3 Doctors' Facilitating Behaviors

3.5.4 Communication Patterns

3.6 Summary

4 Patient Evaluation and Satisfaction

4.1 Understanding Patient Satisfaction

4.2 Relational Communication Scale

4.3 Results

4.4 Discussion

4.5 Summary

5 'Come and See Me Later With Your Diagnostic Test Results'

5.1 Introduction

5.2 After Patient Problem Presentation

5.3 After the Patient's Orientation Toward the Relevance of Diagnostic Testing

5.4 After History-Taking Questions

5.5 'Come and See Me Later With Your Diagnostic Test Results'

5.6 Summary

6 Lifestyle Advice-Giving and Reception

6.1 Introduction

6.2 The Concept of Lifestyle

6.3 Lifestyle Advice After the Formulation of a Problem

6.4 Lifestyle Advice After Diagnosis

6.5 Lifestyle Advice in Closing-Relevant Environments

6.6 Summary

7 Nonmedical Small Talk

7.1 Introduction

7.2 Defining Small Talk

7.3 Small Talk at Medical Openings

7.3.1 Formulaic Sequence of Greeting

7.3.2 Social Talk at Medical Openings

7.3.3 Administrative Talk at Medical Openings

7.4 Small Talk at Medical Closings

7.4.1 Social Talk at Medical Closings

7.4.2 Thanking Formulae

(1) TCM and WM Have Different Approaches for Diagnosis and Treatment, Which Affects the Communication Practice in Medical Encounters.

(2) Medical Consultations in Routine Encounters Are Instrumental and Task-Oriented. This Is Particularly the Case in WM Encounters.

7.5 Summary

8 Summary, Implications, and Future Directions

8.1 Introduction

8.2 Revisiting the Research Design and Objectives

8.3 A Synthesized Summary of the Findings

8.4 Implications and Future Directions

8.4.1 Implications for Communication and Discourse Scholars and Health Practitioners.

8.4.2 A Longitudinal Study of Routine Encounters

8.4.3 Communication in Other Modalities

Index.

Notes:

Includes bibliographical references and index.

Description based on print version record.

Other Format:

Print version: Jin, Ying Doctor-Patient Communication in Chinese and Western Medicine

ISBN:

1-00-316192-8

1-003-16192-8

1-000-59488-2

9781003161929

OCLC:

1287926875