Negotiating explanations: doctor–patient communication with patients with medically unexplained symptoms—a qualitative analysis

Boeft, Madelon den; Huisman, Danielle; Morton, LaKrista; Wouden, Johannes C. van der; Westerman, Marjan J.; Horst, Henriëtte E. van der; Burton, Christopher

doi:10.1093/fampra/cmw113

Cited by 23 publications

(17 citation statements)

References 21 publications

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“…Showing empathy with patients with MUS helps to lower patient anxiety and improve satisfaction [44]. Additionally, different types of explanations could also have important implications for patients with MUS [45] and the extent to which they accept the message [46]. This study adds to the current field of research by targeting a specific yet important aspect of communication rather than a more generic approach to communication.…”

Section: Message Directness In Relation To Patient Anxietymentioning

confidence: 94%

Quantifying positive communication: Doctor’s language and patient anxiety in primary care consultations

Stortenbeker

Houwen

Lucassen

et al. 2018

Patient Education and Counseling

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Section: Message Directness In Relation To Patient Anxietymentioning

confidence: 94%

Quantifying positive communication: Doctor’s language and patient anxiety in primary care consultations

Stortenbeker

Houwen

Lucassen

et al. 2018

Patient Education and Counseling

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“…Having collected and analyzed a large amount of recording materials from the doctor-patient conversation, Den Bowft roughly divided the process of conversation into four modes. [7] He came to the conclusion that patients are most likely to receive and accept the diagnosis and treatment results when both doctors and patients actively participate in the conversation, but more often than not, patients still will accept the diagnosis and treatment although they didn't participate well enough in the beginning part of the communication with the doctor. Mike Sell believes that building a reassuring and supportive relationship between doctors and patients is very helpful for the smooth progress of the doctor-patient conversation.…”

Section: Conversational Analysis In Macro Perspectivementioning

confidence: 99%

A Review of the Researches on Doctor–Patient Conversation

Liu¹

2020

Proceedings of the International Conference on Modern Educational Technology and Innovation and Entrepreneurship (ICMETIE 2020)

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This paper mainly reviews the development of discourse analysis in the history of linguistics, and explains the problems and characteristics of mainstream papers and issues in doctor-patient conversation from the perspective of doctor-patient relationship. On the basis of time, from the starting of discourse analysis, combing the development of doctor-patient dialogue in China with domestic and foreign papers, this paper puts forward the characteristics and shortcomings of theirs theoretical analysis. 3. Conversational Analysis of Doctor-patient Conversational analysis of doctor-patient conversation started in 1970s, which was initiated by Byrne and Long. In the book "doctor talking to patients", they analyzed each process of medical diagnosis in detail, and summarized and analyzed some behavioral characteristics of doctors and patients.[2] They divided the doctor-patient conversation into six stages: establishing a relationship;

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“…Studies coding content features only without consideration of linguistic features were excluded [e.g. [25][26][27]. Qualitative and quantitative research methods were considered.…”

Section: Inclusion and Exclusionmentioning

confidence: 99%

“…When healthcare providers use persuasion, it is not to sell patients something they might not want or need; rather, they take the sting out of a potentially difficult conversation. A negotiation of the patient's problem including the use of persuasive strategies thus serves to find common ground, which sometimes appears difficult to achieve [26].…”

Section: Comparison With the Literaturementioning

confidence: 99%

Linguistic and interactional aspects that characterize consultations about medically unexplained symptoms: A systematic review

Stortenbeker

Stommel

Dulmen

et al. 2019

Journal of Psychosomatic Research

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Objective: The apparent absence of any specific underlying diseases challenges patient-provider communication about medically unexplained symptoms (MUS). Previous research focused on general communication patterns in these interactions; however, an overview of more detailed interactional and linguistic aspects is lacking. This review aims to gain a detailed understanding of communicative challenges in MUS consultations by synthesizing evidence from conversation and discourse analytic research. Methods: A systematic review of publications using eight databases (PubMed, Embase, CINAHL, PsychINFO, Web of Science, MLA International Bibliography, LLBA and Communication Abstracts). Search terms included 'MUS', 'linguistics' and 'communication'. Additional studies were identified by contacting experts and searching bibliographies. We included linguistic and/or interactional analyses of natural patient-provider interactions about MUS. Two authors independently extracted the data, and quality appraisal was based on internal and external validity. Results: We identified 18 publications that met the inclusion criteria. The linguistic and interactional features of MUS consultations pertained to three dimensions: 1) symptom recognition, 2) double trouble potential (i.e. patients and providers may have differing views on symptoms and differing knowledge domains), and 3) negotiation and persuasion (in terms of acceptable explanations and subsequent psychological treatment). We describe the recurrent linguistic and interactional features of these interactions. Conclusions: Despite the presence of a double trouble potential in MUS consultations, validation of symptoms and subtle persuasive conduct may facilitate agreement on illness models and subsequent (psychological) treatment.

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Negotiating explanations: doctor–patient communication with patients with medically unexplained symptoms—a qualitative analysis

Abstract: We developed a classification of dialogue types and outcomes in relation to explanations offered by GPs for MUPS patients. While it requires further validation, it provides a framework, which can be used for teaching, evaluation of practice and research.

Cited by 23 publications

References 21 publications

Quantifying positive communication: Doctor’s language and patient anxiety in primary care consultations

Quantifying positive communication: Doctor’s language and patient anxiety in primary care consultations

A Review of the Researches on Doctor–Patient Conversation

Linguistic and interactional aspects that characterize consultations about medically unexplained symptoms: A systematic review

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