Eliciting patients’ health concerns in consulting rooms and wards in Vietnamese public hospitals
Article
Article Title | Eliciting patients’ health concerns in consulting rooms and wards in Vietnamese public hospitals |
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ERA Journal ID | 210622 |
Article Category | Article |
Authors | Nguyen, Huong Thi Linh (Author), Austin, Gavin (Author), Chau, Dung Duc (Author), Nguyen, Hien Quang (Author), Nguyen, Khanh Hoang Bao (Author) and Duong, Manh The (Author) |
Journal Title | International Journal Of Applied Linguistics and English Literature |
Journal Citation | 7 (2), pp. 121-133 |
Number of Pages | 13 |
Year | 2018 |
Place of Publication | Australia |
ISSN | 2200-3452 |
2200-3592 | |
Digital Object Identifier (DOI) | https://doi.org/10.7575/aiac.ijalel.v.7n.2p.121 |
Web Address (URL) | https://journals.aiac.org.au/index.php/IJALEL/article/view/4163 |
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. |
Keywords | Vietnamese Public Hospital System, doctor-patient communication, problem elicitation, clinical setting, institutional context, conversation analysis |
ANZSRC Field of Research 2020 | 479999. Other language, communication and culture not elsewhere classified |
399999. Other education not elsewhere classified | |
Public Notes | Copyright (c) the author(s). This is an open access article under CC BY license (https://creativecommons.org/licenses/by/4.0/) |
Byline Affiliations | School of Linguistics, Adult and Specialist Education |
Hue Industrial College, Vietnam | |
Hue Central Hospital, Vietnam | |
Hue University of Agriculture and Forestry, Vietnam | |
Au Lac Company, Vietnam | |
Institution of Origin | University of Southern Queensland |
https://research.usq.edu.au/item/q495q/eliciting-patients-health-concerns-in-consulting-rooms-and-wards-in-vietnamese-public-hospitals
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Eliciting Patients’ Health Concerns in Consulting Rooms and Wards in Vietnamese Public Hospitals.pdf | ||
License: CC BY 4.0 | ||
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