Patient-centred Communication

Kayo Kondo

Description

Adapts western-originated communication theories and applies them to non-western communication situations

This book presents a comprehensive analysis of the use of patient-/person-centred communication in providing healthcare for ageing populations through an ethnographic approach to physician in-home medical consultations in Tokyo, Japan, alongside interviews with physicians. It focuses on illustrating how linguistic dimensions of person-centred communication work by citing examples of case studies, as well as the sociocultural differences between the US, the UK, Japan and other societies in which person-centred communication models are employed. The author uses her own framework, which takes into account face and politeness theory, and makes recommendations for future training.

Figures and Tables

Acknowledgments

Acronyms

Introduction

Scope of the Book

Chapter 1. Introduction to Patient-centred Communication         

Chapter 2. Face and Linguistic Politeness                

Chapter 3. Fieldwork and Data   

Chapter 4. Listening to Patients and Identifying Issues     

Chapter 5. Empathy and Acceptance         

Chapter 6. Work Towards Shared Decision-making             

Chapter 7. Leave Space for the Patient and Respecting the Patient’s Freedom        

Chapter 8. Transferring into Future Training          

Chapter 9. Appendices     

References

Index

Sujets

• Social Psychology
• Communication Studies
• Medical
• Médecine
• Doctor
• Professional
• Postgraduate education
• Sociolinguistics
• Physician
• Patient
• Research
• Postgraduate
• Social

Informations

• Publié par: Channel View Publications
• Date de parution: 12 août 2022
• Nombre de lectures: 4
• EAN13: 9781800415904
• Langue: English
• Poids de l'ouvrage: 10 Mo

Extrait

Patient-centred Communication
LANGUAGE AT WORK
Series Editors : Jo Angouri, University of Warwick, UK and Rebecca Piekkari, Aalto University Business School, Finland
Language at Work is a new series designed to bring together scholars interested in workplace research. The modern workplace has changed significantly in recent years. The international nature of business activities and the increasing rate of mobility around the world create a new challenging environment for individuals and organisations alike. The advancements in technology have reshaped the ways employees collaborate at the interface of linguistic, national and professional borders. The complex linguistic landscape also results in new challenges for health care systems and legal settings. This and other phenomena around the world of work have attracted significant interest; it is still common however for relevant research to remain within clear disciplinary and methodological boundaries.
The series aims to create space for exchange of ideas and dialogue and seeks to explore issues related to power, leadership, politics, teamwork, culture, ideology, identity, decision making and motivation across a diverse range of contexts, including corporate, health care and institutional settings. Language at Work welcomes mixed methods research and it will be of interest to researchers in linguistics, international management, organisation studies, sociology, medical sociology and decision sciences.
All books in this series are externally peer-reviewed.
Full details of all the books in this series and of all our other publications can be found on http://www.multilingual-matters.com, or by writing to Multilingual Matters, St Nicholas House, 31–34 High Street, Bristol, BS1 2AW, UK.
LANGUAGE AT WORK: 5
Patient-centred Communication
Discourse of In-home Medical Consultations for Older Adults
Kayo Kondo
MULTILINGUAL MATTERS
Bristol • Jackson
DOI https://doi.org/10.21832/KONDO5881
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress.
Names: Kondo, Kayo, author.
Title: Patient-centred Communication: Discourse of In-home Medical Consultations for Older Adults/Kayo Kondo.
Description: Bristol; Jackson: Multilingual Matters, [2022] | Series: Language at Work: 5 | Includes bibliographical references. | Summary: “This book presents a comprehensive analysis of the use of patient-/person-centred communication in providing health care for ageing populations through an ethnographic approach to physician in-home medical consultations in Tokyo, Japan, alongside interviews with physicians”—Provided by publisher.
Identifiers: LCCN 2022016603 (print) | LCCN 2022016604 (ebook) | ISBN 9781800415881 (hardback) | ISBN 9781800415898 (pdf) | ISBN 9781800415904 (epub) Subjects: LCSH: Physician and patient—Japan. | Communication in medicine—Japan. | Patient-centered health care—Japan.
Classification: LCC R727.3 .K643 2022 (print) | LCC R727.3 (ebook) | DDC 610.69/60952—dc23/eng/20220608
LC record available at https://lccn.loc.gov/2022016603
LC ebook record available at https://lccn.loc.gov/2022016604
British Library Cataloguing in Publication Data
A catalogue entry for this book is available from the British Library.
ISBN-13: 978-1-80041-588-1 (hbk)
Multilingual Matters
UK: St Nicholas House, 31–34 High Street, Bristol, BS1 2AW, UK.
USA: Ingram, Jackson, TN, USA.
Website: www.multilingual-matters.com
Twitter: Multi_Ling_Mat
Facebook: https://www.facebook.com/multilingualmatters
Blog: www.channelviewpublications.wordpress.com
Copyright © 2022 Kayo Kondo.
All rights reserved. No part of this work may be reproduced in any form or by any means without permission in writing from the publisher.
The policy of Multilingual Matters/Channel View Publications is to use papers that are natural, renewable and recyclable products, made from wood grown in sustainable forests. In the manufacturing process of our books, and to further support our policy, preference is given to printers that have FSC and PEFC Chain of Custody certification. The FSC and/or PEFC logos will appear on those books where full certification has been granted to the printer concerned.
Typeset by SAN Publishing Services.
Printed and bound in the UK by the CPI Books Group Ltd.
Contents
Figures and Tables
Acknowledgments
Acronyms
Introduction
I.1 Scope of the Book
1 Introduction to Patient-centred Communication
1.1 What is Patient-centred communication?
1.2 Cultural Differences in Patient–Doctor Relationship
1.3 Summary
1.4 Objectives and Research Questions
2 Face and Linguistic Politeness
2.1 What is Brown and Levinson’s Politeness Theory?
2.2 Criticisms of Brown and Levinson’s Theory
2.3 Contextual Consideration
2.4 Empirical Work in Medical Encounters
2.5 Conclusions
3 Fieldwork and Data
3.1 Ethnography and Observational Fieldwork
3.2 Naturally Occurring Data
3.3 Ethical Approval
3.4 Field Sites
3.5 Healthcare System in Japan
3.6 Gatekeepers
3.7 Physician Participants
3.8 Patient Participants
3.9 The Sample
3.10 Fieldnotes and Recording Procedures
3.11 Interviews as Researcher-provoked Data
3.12 Transcription Procedures
3.13 Translation Procedures
3.14 Step 1: Consultation Phases
3.15 Step 2: Face-PCC Analytical Framework
3.16 Conclusions
4 Listening to Patients and Identifying Issues
4.1 Doctor’s Facilitative Responses
4.2 Evidence of Active Listening (I.b)
4.3 Evidence of Identifies Issues That the Patient Wishes to Address (I.a)
4.4 Potentially Non-PCC Elements
4.5 Conclusions
5 Empathy and Acceptance
5.1 Evidence of Empathy and Acceptance (I.c)
5.2 Potentially Non-PCC Elements
5.3 Empathy as the Core of Clinical Communication
5.4 Conclusions
6 Work Towards Shared Decision-making
6.1 Evidence of Work Towards Shared Decision-making (II.a.)
6.2 Potentially Non-PCC Elements
6.3 Challenges of Shared Decision-making as a Young Doctor
6.4 Conclusions
7 Leave Space for the Patient and Respecting the Patient’s Freedom
7.1 Evidence of Leaving Space for the Patient (II.b)
7.2 Evidence of Respects the Patient’s Freedom (II.c)
7.3 Potentially Non-PCC Elements
7.4 Conclusions
8 Transferring into Future Training
8.1 The Relevance of the Home and Family Context
8.2 Empathy and Related Strategies
8.3 Politeness Strategies
8.4 The Calgary-Cambridge Guide and Cultural Diversity
8.5 Physician Perspectives
8.6 Western Communication Models: Theory and Practice
8.7 Linguistic Politeness as Educational and Analytical Tools
8.8 Summary
8.9 Contributions of This Study
8.10 Limitations of This Study
8.11 Suggestions for Further Investigations
9 Appendices
9.1 A List of the Transcription Notation
9.2 A Summary of Educational Materials Introducing Western Clinical Communication Models for Medical Education Use in Japan
9.3 Details of the Instances From the Face-PCC Analysis
9.4 Full Transcripts of All the Interviews With Physician Participants
9.5 The Full Version of the Transcripts of Two Medical Consultations
References
Author Index
Subject Index
Figures and Tables
Figures
Figure 1.1 The Calgary-Cambridge Guide framework (Silverman et al. , 2013: 19)
Figure 2.1 Possible strategies for doing FTAs (Brown & Levinson, 1987: 69)
Figure 2.2 Three levels of uniqueness in mental programming (Hofstede et al. , [1991] 2010: 6)
Figure 3.1 Face-PCC analytical categories
Tables
Table 1.1 A summary of the definitions relevant to PCC in chronological order
Table 3.1 A list of physician participants
Table 3.2 Patient participant ages
Table 3.3 A list of consultations with older patients attending on their own
Table 3.4 A list of consultations with older patients attending with their families
Table 3.5 Consultation phases indicated by doctor’s signposting
Table 3.6 Consultation phases by contents derived from the preliminary analysis
Table 4.1 Summary of the communicative acts in Listening to Patients and Identifying Issues
Table 5.1 Summary of the communicative acts in Empathy and Acceptance
Table 6.1 Summary of the communicative acts in Works towards shared decision-making
Table 7.1 Summary of the communicative acts in Leaving space for the patient and Respects the patient’s freedom
Acknowledgments
First and foremost, I would like to express my gratitude to all the healthcare professionals, patients, their families, and local experts, who willingly volunteered their time to be involved in this project. I am especially grateful to the Japanese medical experts, Dr Daisuke Son at the Department of Community-based Family Medicine, Faculty of Medicine, Tottori University, and Dr Shinji Matsumura of Matsumura Family Clinic in Tokyo, for their professional guidance and valuable support they provided throughout my fieldwork, and to many other doctors, resident doctors, nurses and allied professionals who have inspired me.
I would like to acknowledge the academics who have helped me understand the values of concepts of patient-centredness. Dr Gabrina Pounds, in particular, has guided me for my entire time of research in applied linguistics at University of East Anglia. Her research on emotions and empathy has greatly convinced me of the importance of human sensitivity in qualitative research. Professor Andreas Musolff has also been my mentor and has given me his perspectives on healthcare discourse, always providing thoughtful and insightful opinions with great encouragement, enthusiasm and big smiles. Dr Charlotte Salter has been generous with her understanding when I struggled, and she also played a major role for me in learning the key Western consultation skills and psychosocial perspectives in the medical contexts. I will never forget all their endless guidance for the rest of my life.
I was born in a family of healthcare workers. The house I was born was located on the same premis