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Closing Surgeon-Patient Consultations

Closing Surgeon-Patient Consultations Closing an encounter is a co-constructed activity through which participants conclude verbal and non-verbal action in a way that allows each to raise any matters they wish prior to the termination of the encounter ( West, 2006 ). Although medical encounters are often time restricted, the scheduled length of the appointment “does not determine just when or how such a visit will be brought to a close” ( West, 2006 : 379). There are, however, points within the consultation where closing becomes a relevant activity. In this article, I examine these points in surgeon-patient consultations. There are seven types of surgeon-initiated pre-closings found in the data presented here. These are: final-concern sequences; arranging surgery; referring back; referring on; arranging diagnostic testing; organising a follow-up; and instructions regarding front desk paperwork. There is also one instance of patient-initiated possible pre-closing, which is also described. After an analysis of these seven types, there is also an analysis of the types of non-minimal responses that can be produced by patients. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Review of Pragmatics Brill

Closing Surgeon-Patient Consultations

International Review of Pragmatics , Volume 4 (1): 58 – Jan 1, 2012

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Publisher
Brill
Copyright
© 2012 by Koninklijke Brill N.V., Leiden, The Netherlands
Subject
Articles
ISSN
1877-3095
eISSN
1877-3109
DOI
10.1163/187731012X632063
Publisher site
See Article on Publisher Site

Abstract

Closing an encounter is a co-constructed activity through which participants conclude verbal and non-verbal action in a way that allows each to raise any matters they wish prior to the termination of the encounter ( West, 2006 ). Although medical encounters are often time restricted, the scheduled length of the appointment “does not determine just when or how such a visit will be brought to a close” ( West, 2006 : 379). There are, however, points within the consultation where closing becomes a relevant activity. In this article, I examine these points in surgeon-patient consultations. There are seven types of surgeon-initiated pre-closings found in the data presented here. These are: final-concern sequences; arranging surgery; referring back; referring on; arranging diagnostic testing; organising a follow-up; and instructions regarding front desk paperwork. There is also one instance of patient-initiated possible pre-closing, which is also described. After an analysis of these seven types, there is also an analysis of the types of non-minimal responses that can be produced by patients.

Journal

International Review of PragmaticsBrill

Published: Jan 1, 2012

Keywords: conversation analysis; surgeon; patient; health communication; closings

References