Eliciting patients’ health concerns in consulting rooms and wards in Vietnamese public hospitals

Nguyen, Huong Thi Linh and Austin, Gavin and Chau, Dung Duc and Nguyen, Hien Quang and Nguyen, Khanh Hoang Bao and Duong, Manh The (2018) Eliciting patients’ health concerns in consulting rooms and wards in Vietnamese public hospitals. International Journal of Applied Linguistics & English Literature, 7 (2). pp. 121-133. ISSN 2200-3592

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Abstract

This article examines the doctor’s elicitation of the patient’s presenting health concern in two clinical settings in the Vietnamese public hospital system: the consulting room and the ward. The data were taken from 66 audio-recorded consultations. Our analysis shows that the elicitors used by the doctor in the consulting room often communicate a weak epistemic stance towards the patient’s health issue, while those used in the ward tend to signal a strong epistemic stance. In addition, this contrast between the elicitors employed in the consulting room and the ward is evident in our data regardless of whether the consultation is a first visit or a same follow-up (in which the doctor is the same one that treated the patient on their last visit), though the contrast is less clear for different follow-ups (in which the doctor has not treated the patient before). An additional finding is that the clinical setting has some bearing on the use of inappropriate elicitation formats (in which the doctor opens the visit with an elicitor which is more appropriate for another type of visit). The precise way in which each of the consulting room and the ward operates is, of course, a feature of the Vietnamese public hospital system itself. Hence, the overall contrast between the elicitors and elicitation formats used in these two settings illustrates how, on a more general level, the institutional context can have an impact on doctor-patient communication.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Copyright (c) the author(s). This is an open access article under CC BY license (https://creativecommons.org/licenses/by/4.0/)
Faculty / Department / School: Current - Faculty of Business, Education, Law and Arts - School of Linguistics, Adult and Specialist Education
Date Deposited: 21 Feb 2018 04:02
Last Modified: 15 May 2018 00:30
Uncontrolled Keywords: Vietnamese Public Hospital System, doctor-patient communication, problem elicitation, clinical setting, institutional context, conversation analysis
Fields of Research : 20 Language, Communication and Culture > 2099 Other Language, Communication and Culture > 209999 Language, Communication and Culture not elsewhere classified
Socio-Economic Objective: E Expanding Knowledge > 97 Expanding Knowledge > 970120 Expanding Knowledge in Language, Communication and Culture
C Society > 92 Health > 9299 Other Health > 929999 Health not elsewhere classified
E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
C Society > 95 Cultural Understanding > 9502 Communication > 950299 Communication not elsewhere classified
Identification Number or DOI: 10.7575/aiac.ijalel.v.7n.2p.121
URI: http://eprints.usq.edu.au/id/eprint/33739

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