Elisabet Cedersund, Anna Olaison, Susanne Kvarnström
Team meetings are central to social workers’ decision-making practices. These meetings often function as a forum for collegial consultations, when applications are processed and recommendations on decisions are discussed. In this paper, we present findings from a case study on team talk and decision-making practices in gerontological social work. The data come from a body of material gathered within the framework of a larger project covering the process of assessing elder care for older persons in three Swedish municipalities. The case concerns an application, due to homelessness, from a couple for an apartment in special housing. The team meeting was analysed using a data-driven perspective within a micro-analytical approach to talk, focusing in detail on how conflicting perspectives in the assessment of the couple’s needs are dealt with, and how tensions between divergent views and opinions are handled in relation to institutional and professional conversational frames. The findings show how the care managers (in Sweden the professional title for social workers working in elder care) negotiated the boundaries of responsibility and power within both the institutional and professional frames, revealing that the institutional frame dominated when it came to making decisions. The findings have implications for practice, as they give insight into the interactional dynamics involved in social workers’ assessments when navigating different conversational frames within their decision-making practices.
{"title":"Tensions between institutional and professional frames in team talk in gerontological social work","authors":"Elisabet Cedersund, Anna Olaison, Susanne Kvarnström","doi":"10.1558/cam.25959","DOIUrl":"https://doi.org/10.1558/cam.25959","url":null,"abstract":"Team meetings are central to social workers’ decision-making practices. These meetings often function as a forum for collegial consultations, when applications are processed and recommendations on decisions are discussed. In this paper, we present findings from a case study on team talk and decision-making practices in gerontological social work. The data come from a body of material gathered within the framework of a larger project covering the process of assessing elder care for older persons in three Swedish municipalities. The case concerns an application, due to homelessness, from a couple for an apartment in special housing. The team meeting was analysed using a data-driven perspective within a micro-analytical approach to talk, focusing in detail on how conflicting perspectives in the assessment of the couple’s needs are dealt with, and how tensions between divergent views and opinions are handled in relation to institutional and professional conversational frames. The findings show how the care managers (in Sweden the professional title for social workers working in elder care) negotiated the boundaries of responsibility and power within both the institutional and professional frames, revealing that the institutional frame dominated when it came to making decisions. The findings have implications for practice, as they give insight into the interactional dynamics involved in social workers’ assessments when navigating different conversational frames within their decision-making practices.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"82 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141655728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This interview represents an opportunity to take stock of the positioning of our discipline – broadly characterised as discourse / rhetoric / communication studies – in the context of healthcare education and practice, while at the same time exploring intersections between communication/discourse/rhetoric and ethics, through the discussion of what is articulated as the framework of ‘communication ethics’. More specifically, the notions of relationality and responsibility are alluded to as being the core of communication ethics – an effort to extend the notion of ‘communication expertise’, as outlined in previous research, as a necessary point of departure from the communication skills view which currently dominates healthcare education and practice. The interview was first published as ‘Communication skills, expertise and ethics in healthcare education and practice’, as part of a Special Issue titled ‘Rhetoric and Health’, Rivista Italiana di Filosofia del Linguaggio (RIFL) 15 (1): 106–122, https://doi.org/10.4396/2021060INT2
这次访谈提供了一个机会，让我们可以在医疗保健教育和实践的背景下，对我们的学科--广义上的话语/修辞/传播研究--的定位进行评估，同时通过对 "传播伦理 "框架的讨论，探索传播/话语/修辞与伦理之间的交叉点。更具体地说，"关系性 "和 "责任 "的概念被暗指为 "传播伦理 "的核心--正如以前的研究中所概述的那样，这是扩展 "传播专业知识 "概念的一种努力，是目前主导医疗保健教育和实践的传播技能观点的必要出发点。该访谈首次以 "医疗保健教育和实践中的传播技能、专业知识和伦理 "为题发表，作为题为 "修辞与健康 "的特刊的一部分，Rivista Italiana di Filosofia del Linguaggio (RIFL) 15 (1)：106–122, https://doi.org/10.4396/2021060INT2
{"title":"Communication skills, expertise and ethics in healthcare education and practice","authors":"Srikant Sarangi, Maria Grazia Rossi","doi":"10.1558/cam.24729","DOIUrl":"https://doi.org/10.1558/cam.24729","url":null,"abstract":"This interview represents an opportunity to take stock of the positioning of our discipline – broadly characterised as discourse / rhetoric / communication studies – in the context of healthcare education and practice, while at the same time exploring intersections between communication/discourse/rhetoric and ethics, through the discussion of what is articulated as the framework of ‘communication ethics’. More specifically, the notions of relationality and responsibility are alluded to as being the core of communication ethics – an effort to extend the notion of ‘communication expertise’, as outlined in previous research, as a necessary point of departure from the communication skills view which currently dominates healthcare education and practice.\u0000The interview was first published as ‘Communication skills, expertise and ethics in healthcare education and practice’, as part of a Special Issue titled ‘Rhetoric and Health’, Rivista Italiana di Filosofia del Linguaggio (RIFL) 15 (1): 106–122, https://doi.org/10.4396/2021060INT2","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"406 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141028138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Doctor -couple interactions in the context of assisted reproductive medicine frequently include occurrences of laughter, especially patient-initiated. These have been examined in previous studies from a quantitative perspective and in relation to specific topics, but not as regards the functions that laughter realises throughout the interactions. Our study aims to address this underinvestigated issue by providing an analysis of a small sample of consultations (n = 10) about assisted reproductive technology (ART) treatments. The analysis is set within a discourse-interactional perspective on clinical interactions, which focuses on consultations as advice-seeking activities in which advice-giving is the main discourse type. The consultations have been analysed through structural mapping, which has revealed five main phases: opening, information sharing, problem identification, discussion of the options and closing. Laughter tokens have been identified and their functions are described from the point of view of an incongruity-based framework. The interactional functions of laughter described in this framework, e.g., 'marking incongruity', 'softening trouble-telling', 'showing sympathy', 'marking irony' etc., have then been mapped onto the different phases of the consultations, yielding a fine-grained description of when laughter occurs and what participants are using it for. Our study expands on previous analyses of laughter in ART consultations, offering a novel methodological approach that could be applied to larger corpora.
{"title":"Interactional functions of laughter in assisted reproductive medicine consultations.","authors":"Sarah Bigi, Amanda Tedone, Elena Vegni","doi":"10.1558/cam.25300","DOIUrl":"https://doi.org/10.1558/cam.25300","url":null,"abstract":"<p><p>Doctor -couple interactions in the context of assisted reproductive medicine frequently include occurrences of laughter, especially patient-initiated. These have been examined in previous studies from a quantitative perspective and in relation to specific topics, but not as regards the functions that laughter realises throughout the interactions. Our study aims to address this underinvestigated issue by providing an analysis of a small sample of consultations (n = 10) about assisted reproductive technology (ART) treatments. The analysis is set within a discourse-interactional perspective on clinical interactions, which focuses on consultations as advice-seeking activities in which advice-giving is the main discourse type. The consultations have been analysed through structural mapping, which has revealed five main phases: opening, information sharing, problem identification, discussion of the options and closing. Laughter tokens have been identified and their functions are described from the point of view of an incongruity-based framework. The interactional functions of laughter described in this framework, e.g., 'marking incongruity', 'softening trouble-telling', 'showing sympathy', 'marking irony' etc., have then been mapped onto the different phases of the consultations, yielding a fine-grained description of when laughter occurs and what participants are using it for. Our study expands on previous analyses of laughter in ART consultations, offering a novel methodological approach that could be applied to larger corpora.</p>","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"19 2","pages":"99-111"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Srikant Sarangi offers probing remarks about communication ethics and the relational aspects of the patient–clinician encounter. I am particularly intrigued by the attention he draws to persuasion and its legitimate role in the moral dynamic of decision making between patients and clinicians in healthcare.
{"title":"Persuasion in healthcare needs virtue, narrative and a relational concept of autonomy","authors":"L. Kaldjian","doi":"10.1558/cam.26268","DOIUrl":"https://doi.org/10.1558/cam.26268","url":null,"abstract":"Srikant Sarangi offers probing remarks about communication ethics and the relational aspects of the patient–clinician encounter. I am particularly intrigued by the attention he draws to persuasion and its legitimate role in the moral dynamic of decision making between patients and clinicians in healthcare.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"30 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140728243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article presents a study on team talk in psychosocial rehabilitation with reference to collective decision making. It focuses on problem formulation processes that occur during weekly team meetings in a Swiss organization providing psychosocial rehabilitation to chronic mental health patients. The corpus of team meetings (34 hours of recorded talk) was analyzed along three narrative dimensions: participation framework, timeline organization and forms of evaluation. The analysis was supported by ethnographic information (field notes collected during participant observation over ten months), in order to access the local conception and organization of rehabilitation work, which is repeatedly referred to and reshaped through discourse. The discursive practices identified show that team members learn to formulate problems in a way that allows them to identify and plan interventions in line with their rehabilitation model and the actual opportunities they have. Further, the role-related forms of participation highlight how different professionals contribute to the problem formulation in specific ways. In sum, the interaction turns out to be strongly centralized around the role of a meeting coordinator, who is able to enhance the participation of the other team members and to build institutional narratives on the basis of individual contributions, carrying out discursive work that can be metaphorically described as the weaving and knotting threads that make up a tapestry.
{"title":"Formulating problems in psycho-social rehabilitation","authors":"Chiara Piccini, Antonella Carassa","doi":"10.1558/cam.25958","DOIUrl":"https://doi.org/10.1558/cam.25958","url":null,"abstract":"This article presents a study on team talk in psychosocial rehabilitation with reference to collective decision making. It focuses on problem formulation processes that occur during weekly team meetings in a Swiss organization providing psychosocial rehabilitation to chronic mental health patients.\u0000The corpus of team meetings (34 hours of recorded talk) was analyzed along three narrative dimensions: participation framework, timeline organization and forms of evaluation. The analysis was supported by ethnographic information (field notes collected during participant observation over ten months), in order to access the local conception and organization of rehabilitation work, which is repeatedly referred to and reshaped through discourse.\u0000The discursive practices identified show that team members learn to formulate problems in a way that allows them to identify and plan interventions in line with their rehabilitation model and the actual opportunities they have. Further, the role-related forms of participation highlight how different professionals contribute to the problem formulation in specific ways.\u0000In sum, the interaction turns out to be strongly centralized around the role of a meeting coordinator, who is able to enhance the participation of the other team members and to build institutional narratives on the basis of individual contributions, carrying out discursive work that can be metaphorically described as the weaving and knotting threads that make up a tapestry.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"34 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140732376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In the interview, Sarangi rightly points to the increasing drive to recognize patients, and more generally, lay persons, as experts and decision-makers. For instance, patients have their own unique knowledge of being a patient and receiver of healthcare services. A patient also knows what is important to him or her and must therefore play a crucial role in the decision-making process relating to the care given.
{"title":"The patient or lay person as expert","authors":"Rolf Wynn","doi":"10.1558/cam.26000","DOIUrl":"https://doi.org/10.1558/cam.26000","url":null,"abstract":"In the interview, Sarangi rightly points to the increasing drive to recognize patients, and more generally, lay persons, as experts and decision-makers. For instance, patients have their own unique knowledge of being a patient and receiver of healthcare services. A patient also knows what is important to him or her and must therefore play a crucial role in the decision-making process relating to the care given.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"131 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140731494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Srikant Sarangi’s rich and provocative insights clearly merit robust inquiry. In resounding endorsement of his spot-on driving thesis of communication as “action/meaning-making practice,” let us stretch beyond our disciplinary corridors and embark on a brief phenomenological and ontological dig to further challenge the quarantining of communication to a template of skills and behavior.
{"title":"Communicating at face value","authors":"Michael C. Brannigan","doi":"10.1558/cam.25999","DOIUrl":"https://doi.org/10.1558/cam.25999","url":null,"abstract":"Srikant Sarangi’s rich and provocative insights clearly merit robust inquiry. In resounding endorsement of his spot-on driving thesis of communication as “action/meaning-making practice,” let us stretch beyond our disciplinary corridors and embark on a brief phenomenological and ontological dig to further challenge the quarantining of communication to a template of skills and behavior.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"197 S575","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140730741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katharine Weetman, C. Wiskin, J. Skelton, Katharine Heathcock
Background: Students completing a healthcare degree can experience difficulties, both academic and non-academic. Early intervention for struggling students may present an opportunity for remediation. Students may be coached in academic performance, clinical communication, values-based learning and development of professional identity The referred students’ coaching programme at the University of Birmingham is a unique offering, encompassing eight different healthcare programmes. Referrals can be triggered by academic performance and ‘concern forms’ by stakeholders. Concerns by referrers include exam failure, performance anxiety, lack of confidence, poor team and/or patient/public communication or inadequate self-presentation as well as issues with attitudes/values, study methods, organisation, writing, language, motivation and conduct. Each student referred to the programme receives a bespoke coaching service. Sessions may include role play, narrative reflection, review and revision of academic work, structured feedback and signposting of resources. Methods and analysis: A qualitative evaluation is carried out of students referred to the Interactive Studies Unit at the University of Birmingham for coaching support with language, communication and professional development. This evaluation explores the experiences of referred students via qualitative surveys. The results are examined using thematic analysis and corpus linguistics. There is a minimum target of 15 participants. Dissemination: The findings will be published and shared internally for training and internal process improvement purposes.
{"title":"Evaluating the referred students’ coaching programme through student surveys","authors":"Katharine Weetman, C. Wiskin, J. Skelton, Katharine Heathcock","doi":"10.1558/cam.24819","DOIUrl":"https://doi.org/10.1558/cam.24819","url":null,"abstract":"Background: Students completing a healthcare degree can experience difficulties, both academic and non-academic. Early intervention for struggling students may present an opportunity for remediation. Students may be coached in academic performance, clinical communication, values-based learning and development of professional identity The referred students’ coaching programme at the University of Birmingham is a unique offering, encompassing eight different healthcare programmes. Referrals can be triggered by academic performance and ‘concern forms’ by stakeholders. Concerns by referrers include exam failure, performance anxiety, lack of confidence, poor team and/or patient/public communication or inadequate self-presentation as well as issues with attitudes/values, study methods, organisation, writing, language, motivation and conduct. Each student referred to the programme receives a bespoke coaching service. Sessions may include role play, narrative reflection, review and revision of academic work, structured feedback and signposting of resources.\u0000Methods and analysis: A qualitative evaluation is carried out of students referred to the Interactive Studies Unit at the University of Birmingham for coaching support with language, communication and professional development. This evaluation explores the experiences of referred students via qualitative surveys. The results are examined using thematic analysis and corpus linguistics. There is a minimum target of 15 participants.\u0000Dissemination: The findings will be published and shared internally for training and internal process improvement purposes.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"96 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140421025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In speech and language therapy it is common to do an assessment of a child’s speech and language abilities. During the assessment, the child does not solely carry out the assigned task, but also does repair work to achieve intersubjectivity in order to perform well in the test activity. The aim of the present study was to investigate how children with Developmental Language Disorder (DLD) design and initiate repair during assessment. Sixteen children with DLD aged between 7;05 (7 years and 5 months) to 10;00 years were included. The data consist of video recordings of the children and a researcher made during the test activities, and conversation analysis is used to analyse the data. Findings show how the children initiate several kinds of repair during the test activities, with several types of reformulations presenting candidate understandings. The reformulations occurred just after the task-setting turn (TST), and they indicate that the children displayed an understanding of what was expected of them during the test activities. By using reformulations, the children thus revealed pragmatic skills and demonstrated competence in being a test taker. These findings may have clinical implications when assessing pragmatic skills.
{"title":"Children’s reformulations during speech-language assessment","authors":"Annette Esbensen, Maja Sigurd Pilesjö","doi":"10.1558/cam.23829","DOIUrl":"https://doi.org/10.1558/cam.23829","url":null,"abstract":"In speech and language therapy it is common to do an assessment of a child’s speech and language abilities. During the assessment, the child does not solely carry out the assigned task, but also does repair work to achieve intersubjectivity in order to perform well in the test activity. The aim of the present study was to investigate how children with Developmental Language Disorder (DLD) design and initiate repair during assessment. Sixteen children with DLD aged between 7;05 (7 years and 5 months) to 10;00 years were included. The data consist of video recordings of the children and a researcher made during the test activities, and conversation analysis is used to analyse the data. Findings show how the children initiate several kinds of repair during the test activities, with several types of reformulations presenting candidate understandings. The reformulations occurred just after the task-setting turn (TST), and they indicate that the children displayed an understanding of what was expected of them during the test activities. By using reformulations, the children thus revealed pragmatic skills and demonstrated competence in being a test taker. These findings may have clinical implications when assessing pragmatic skills.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"133 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140423648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stefan Timmermans, Tanya Stivers, Keith Cox, Amanda McArthur
Communication research on medical interaction has made inroads into how patients shape treatment outcomes as well as how physician presentation of treatment can shape patient acceptance or resistance. Pain is the number one reason patients visit primary care physicians. The overprescription of opioids for chronic pain remains a major public health problem in the US and constitutes a risk factor for opioid addiction. In this study, we investigated how primary care physicians communicate recommendations for alternatives to opioid treatments for patients with self-reported moderate to serious chronic musculoskeletal pain and examined the relationship between communication strategies and patient resistance to non-opioid treatment recommendations. We relied on a convenience sample of 35 video recorded visits in which musculo-skeletal pain was reported as moderate to severe (or over 5 on the pain scale). Using a combined approach of abductive analysis, conversation analysis and descriptive statistics, we show that physicians are less likely to face patient resistance when they frame their non-opioid pain treatment recommendation as novel and present the treatment as concrete and tailored to the patient’s problem.
{"title":"Patients in pain","authors":"Stefan Timmermans, Tanya Stivers, Keith Cox, Amanda McArthur","doi":"10.1558/cam.22881","DOIUrl":"https://doi.org/10.1558/cam.22881","url":null,"abstract":"Communication research on medical interaction has made inroads into how patients shape treatment outcomes as well as how physician presentation of treatment can shape patient acceptance or resistance. Pain is the number one reason patients visit primary care physicians. The overprescription of opioids for chronic pain remains a major public health problem in the US and constitutes a risk factor for opioid addiction. In this study, we investigated how primary care physicians communicate recommendations for alternatives to opioid treatments for patients with self-reported moderate to serious chronic musculoskeletal pain and examined the relationship between communication strategies and patient resistance to non-opioid treatment recommendations. We relied on a convenience sample of 35 video recorded visits in which musculo-skeletal pain was reported as moderate to severe (or over 5 on the pain scale). Using a combined approach of abductive analysis, conversation analysis and descriptive statistics, we show that physicians are less likely to face patient resistance when they frame their non-opioid pain treatment recommendation as novel and present the treatment as concrete and tailored to the patient’s problem.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140419107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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