Soc Sci Med. 2005 Jul;61(2):481-93.

The structure of patients' presenting concerns: the completion relevance of current symptoms.

Source

Department of Communication, Rutgers University, New Brunswick, NJ 08901-1071, USA. jrob@scils.rutgers.edu

Abstract

This article uses conversation analysis to investigate the problem-presentation phase of 302 visits between primary-care physicians and patients with acute problems. It analyzes the social-interactional organization of problem presentation, focusing on how participants recognize and negotiate its completion. It argues that physicians and patients mutually orient to the presentation of current symptoms--that is, concrete symptoms presented as somehow being experienced in the here-and-now--as a locus of transition between the patient-controlled problem-presentation phase of the visit and the physician-controlled information-gathering phase. This is a resource for physicians to distinguish between complete and incomplete presentations, and for patients to manipulate this distinction.

PMID:: 15893061; [PubMed - indexed for MEDLINE]

Publication Types, MeSH Terms, Grant Support

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Research Support, U.S. Gov't, P.H.S.

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Grant Support

R01 HS10922-03/HS/AHRQ HHS/United States

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