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Negotiation and the structure of discourse in medical consultation
Author(s) -
Drass Kriss A.
Publication year - 1982
Publication title -
sociology of health and illness
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.146
H-Index - 97
eISSN - 1467-9566
pISSN - 0141-9889
DOI - 10.1111/1467-9566.ep10487982
Subject(s) - negotiation , medical history , process (computing) , psychology , sociology , public relations , computer science , medicine , political science , social science , radiology , operating system
Using audio tape recordings of consultations between mid‐level providers and patients in a health maintenance organization, a model of medical negotiation is presented. This model conceptualizes negotiation as a process in which mid‐level providers and patients introduce their perspectives on the definition and treatment of medical problems by linking together units of discourse (acts, turns, sequences and phases). This model clearly locates negotiation in observable activities of interactants and demonstrates how the process changes over the course of an encounter as provider and patient participate in the taking of a medical history, the performance of a physical examination, and the discussion of the problem and treatment. Because of the formal yet flexible nature of this model, it lends itself for use in comparative studies of medical practitioner‐patient negotiation.