{"title":"Patients and consultations","authors":"Angus Clarke, L. Ballard, Shane Doheny","doi":"10.1558/cam.23724","DOIUrl":"https://doi.org/10.1558/cam.23724","url":null,"abstract":"A rejoinder to the review by Elywn and colleages.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84458577","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}
A cross-sectional study design explored the relationship between medical students’ Objective Structured Clinical Examination (OSCE) clinical communication ratings and their responsiveness to simulated patient (SP) verbal emotional cues in their qualifying OSCE. Data were collected from two cohorts of fourth-year medical students (n = 37), and responses to patient cues that facilitated further disclosure or related discussion – known as provide space responses – from two OSCE communication stations were measured by coding video footage with the Verona Coding Definition of Emotional Sequences (VR-CoDES). The 37 medical students were representative of the larger cohort (n = 508) in terms of age. A significant positive correlation with a medium effect was found between OSCE clinical communication ratings and provide space responses. OSCE clinical communication ratings could differentiate between students who adopted patient-centred facilitative behaviours and those who did not.
{"title":"The relationship between facilitating emotional cues and medical students’ clinical communication performance in qualifying exams","authors":"P. Leadbetter, I. Fletcher, H. O’Sullivan","doi":"10.1558/cam.21492","DOIUrl":"https://doi.org/10.1558/cam.21492","url":null,"abstract":"A cross-sectional study design explored the relationship between medical students’ Objective Structured Clinical Examination (OSCE) clinical communication ratings and their responsiveness to simulated patient (SP) verbal emotional cues in their qualifying OSCE. Data were collected from two cohorts of fourth-year medical students (n = 37), and responses to patient cues that facilitated further disclosure or related discussion – known as provide space responses – from two OSCE communication stations were measured by coding video footage with the Verona Coding Definition of Emotional Sequences (VR-CoDES).\u0000The 37 medical students were representative of the larger cohort (n = 508) in terms of age. A significant positive correlation with a medium effect was found between OSCE clinical communication ratings and provide space responses. OSCE clinical communication ratings could differentiate between students who adopted patient-centred facilitative behaviours and those who did not.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87108165","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}
A. A. Grossi, D. Paredes, V. Palaniswamy, N. Jansen, M. Picozzi, G. Randhawa
With increasing immigration to Europe, migrants and ethnic minorities (MEMs) are progressively represented on transplant waiting lists. However, they remain underrepresented among the pools of both deceased and living donors (LD). Further, studies report inferior knowledge and/or understanding of organ donation and transplantation among these populations, with the potential for detrimental impacts on accessibility, quality and outcomes of care. The ethnic and cultural diversity characterising European societies poses additional challenges to the complexity inherent to communication in transplant settings. This study addresses the ethical, theoretical and practical implications of targeting/tailoring interventions for MEM populations in the transplant continuum. It puts forward a call for action on the emergent issue of how institutional actors and healthcare professionals should interact more effectively with MEM publics, potential donors and/or their families and MEM transplant candidates/recipients/LDs.
{"title":"‘One size does not fit all’ in organ donation and transplantation","authors":"A. A. Grossi, D. Paredes, V. Palaniswamy, N. Jansen, M. Picozzi, G. Randhawa","doi":"10.1558/cam.21434","DOIUrl":"https://doi.org/10.1558/cam.21434","url":null,"abstract":"With increasing immigration to Europe, migrants and ethnic minorities (MEMs) are progressively represented on transplant waiting lists. However, they remain underrepresented among the pools of both deceased and living donors (LD). Further, studies report inferior knowledge and/or understanding of organ donation and transplantation among these populations, with the potential for detrimental impacts on accessibility, quality and outcomes of care. The ethnic and cultural diversity characterising European societies poses additional challenges to the complexity inherent to communication in transplant settings. This study addresses the ethical, theoretical and practical implications of targeting/tailoring interventions for MEM populations in the transplant continuum. It puts forward a call for action on the emergent issue of how institutional actors and healthcare professionals should interact more effectively with MEM publics, potential donors and/or their families and MEM transplant candidates/recipients/LDs.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73172954","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}
Developing a professional identity in physicians-in-training is a central, but contested, outcome of medical education. In recent years scholars have argued for the importance of including affective experiences, especially shame, in the discourse around medical training. This discourse reflects projection and anticipation around both shame and professional identity, and the question of how shame impacts the latter is critical. Shame is an affect that arises when the self is confronted by the gaze, judgment or awareness of an Other; it can have profound impacts on identity and self-concept, and is highly prevalent in medicine and healthcare. This article posits ‘anticipated shame’ as a potent factor implicit in the experience of developing a medical professional identity, and connects shame to stigma and marginalization in medical training. Shame, and the anticipation of shame in student–teacher and trainee–patient interactions, highlights aspects of interpersonal communication within medical training and then practice. The concept of anticipated shame offers rich ground to theorize the effects of affect in medical education, and how trainees internalize medical cultural values and then enter the field of clinical practice.
{"title":"Anticipated shame and professional identity formation","authors":"P. Lusk","doi":"10.1558/cam.21481","DOIUrl":"https://doi.org/10.1558/cam.21481","url":null,"abstract":"Developing a professional identity in physicians-in-training is a central, but contested, outcome of medical education. In recent years scholars have argued for the importance of including affective experiences, especially shame, in the discourse around medical training. This discourse reflects projection and anticipation around both shame and professional identity, and the question of how shame impacts the latter is critical. Shame is an affect that arises when the self is confronted by the gaze, judgment or awareness of an Other; it can have profound impacts on identity and self-concept, and is highly prevalent in medicine and healthcare. This article posits ‘anticipated shame’ as a potent factor implicit in the experience of developing a medical professional identity, and connects shame to stigma and marginalization in medical training. Shame, and the anticipation of shame in student–teacher and trainee–patient interactions, highlights aspects of interpersonal communication within medical training and then practice. The concept of anticipated shame offers rich ground to theorize the effects of affect in medical education, and how trainees internalize medical cultural values and then enter the field of clinical practice.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74035047","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 paper presents a discourse analysis of the public’s response to UK press coverage of the debate surrounding the measles, mumps and rubella (MMR) vaccine and its alleged link to autism from 1998 to 2019. The analysis focuses on published readers’ letters to the editor in a newspaper corpus comprising 12 national British newspapers, and on comments posted by users on the Guardian’s and the Daily Mail’s Facebook pages. These social media pages are dialogic sites of individual participation that allow users to discuss how the latest events and debates affect their daily lives, as well as how they interpret them through their own ideological, cultural, social and personal lenses. The findings show that medico-scientific issues such as vaccination are often personalised by the parents and legal guardians of young children, and that they regard individual experiences with vaccination or with vaccine-preventable diseases as valid evidence on which to base their argumentation. The findings thus highlight the need to devise effective communication to foster the science of vaccines and to counter vaccine hesitancy without belittling a person’s genuine experiences and sincere beliefs.
{"title":"Argumentative pro-vaccination and anti-vaccination narratives in the MMR vaccine-autism controversy","authors":"C. Fiammenghi","doi":"10.1558/cam.21505","DOIUrl":"https://doi.org/10.1558/cam.21505","url":null,"abstract":"This paper presents a discourse analysis of the public’s response to UK press coverage of the debate surrounding the measles, mumps and rubella (MMR) vaccine and its alleged link to autism from 1998 to 2019. The analysis focuses on published readers’ letters to the editor in a newspaper corpus comprising 12 national British newspapers, and on comments posted by users on the Guardian’s and the Daily Mail’s Facebook pages. These social media pages are dialogic sites of individual participation that allow users to discuss how the latest events and debates affect their daily lives, as well as how they interpret them through their own ideological, cultural, social and personal lenses. The findings show that medico-scientific issues such as vaccination are often personalised by the parents and legal guardians of young children, and that they regard individual experiences with vaccination or with vaccine-preventable diseases as valid evidence on which to base their argumentation. The findings thus highlight the need to devise effective communication to foster the science of vaccines and to counter vaccine hesitancy without belittling a person’s genuine experiences and sincere beliefs.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86217145","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}
Marion C. Bowman, Isobel Sale, Ruth Payne, K. Vinall-Collier, A. Tugnait
Objective: To use a discourse analysis approach to identify salient features in the lived experiences of dental professionals in relation to explaining periodontal (gum) disease to patients. Methods: Interview data from 13 UK-trained and three internationally-trained dental professionals was examined using thematic discourse analysis. The first stage (discourse analysis) focused on the identification of language patterns in the interview data. This stage forms the focus of this paper. Findings: Six discourse categories (Clinician, Collaborator, Educator, Rapport Builder, Mentor and Professional) were identified that related to the participants’ perceived professional roles. The categories were associated with differing worldviews and language use patterns, but with some overlap. All interviewees used a variety of discourse categories in their accounts, but a few relied predominantly on one category, e.g., Clinician or Mentor. Conclusions: The local discourse categories identified in this study reflect broader discourses in healthcare relating to the roles of providers and patients, which have evolved through time. Practice implications: Practising dental professionals are faced with a diverse range of patients who have different communication preferences. A suite of discourse categories can act as a ‘toolbox’ that dental professionals can flexibly draw on when needing to adopt a role that could predispose a particular patient to positive oral health behaviour change.
{"title":"Dental professionals’ role perceptions in relation to periodontal (gum) disease explanations","authors":"Marion C. Bowman, Isobel Sale, Ruth Payne, K. Vinall-Collier, A. Tugnait","doi":"10.1558/cam.20929","DOIUrl":"https://doi.org/10.1558/cam.20929","url":null,"abstract":"Objective: To use a discourse analysis approach to identify salient features in the lived experiences of dental professionals in relation to explaining periodontal (gum) disease to patients.\u0000Methods: Interview data from 13 UK-trained and three internationally-trained dental professionals was examined using thematic discourse analysis. The first stage (discourse analysis) focused on the identification of language patterns in the interview data. This stage forms the focus of this paper.\u0000Findings: Six discourse categories (Clinician, Collaborator, Educator, Rapport Builder, Mentor and Professional) were identified that related to the participants’ perceived professional roles. The categories were associated with differing worldviews and language use patterns, but with some overlap. All interviewees used a variety of discourse categories in their accounts, but a few relied predominantly on one category, e.g., Clinician or Mentor.\u0000Conclusions: The local discourse categories identified in this study reflect broader discourses in healthcare relating to the roles of providers and patients, which have evolved through time.\u0000Practice implications: Practising dental professionals are faced with a diverse range of patients who have different communication preferences. A suite of discourse categories can act as a ‘toolbox’ that dental professionals can flexibly draw on when needing to adopt a role that could predispose a particular patient to positive oral health behaviour change.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76095286","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}
Pablo Medina Aguerrebere, David Santandreu Calonge, Patrik T. Hultberg, M. Shah, M. Connor
This exploratory study analyses studies pertaining to the risk communication strategies adopted by Spanish public hospitals to inform their stakeholders during the first COVID-19 wave, in order to better understand effective communication of ‘health messages’ during a pandemic. After reviewing 155 academic works, 12 articles that were published between January 2020 and September 2020 met full inclusion criteria. Implementing a thematic synthesis approach yielded five themes: (1) transparency of crisis; (2) hospital health leadership crisis; (3) crisis management communication; (4) crisis management strategy; and (5) crisis management stakeholders. Based on these identified themes, 10 evidence-based recommendations for hospital communication preparedness and implementation during health crises are offered.
{"title":"Public hospitals’ risk communication strategies during COVID-19","authors":"Pablo Medina Aguerrebere, David Santandreu Calonge, Patrik T. Hultberg, M. Shah, M. Connor","doi":"10.1558/cam.20521","DOIUrl":"https://doi.org/10.1558/cam.20521","url":null,"abstract":"This exploratory study analyses studies pertaining to the risk communication strategies adopted by Spanish public hospitals to inform their stakeholders during the first COVID-19 wave, in order to better understand effective communication of ‘health messages’ during a pandemic. After reviewing 155 academic works, 12 articles that were published between January 2020 and September 2020 met full inclusion criteria. Implementing a thematic synthesis approach yielded five themes: (1) transparency of crisis; (2) hospital health leadership crisis; (3) crisis management communication; (4) crisis management strategy; and (5) crisis management stakeholders. Based on these identified themes, 10 evidence-based recommendations for hospital communication preparedness and implementation during health crises are offered.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82575334","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}
Pertti Hella, S. Werner, H. Koivumaa-Honkanen, J. Hintikka, H. Koponen
Prolonged pause duration in speech is a typical phenomenon of schizophrenia. Despite this, however, studies have not previously focused on prolonged pause in clinical diagnostic interviews, nor has there been any consideration of whether silences occur within turns or in turn-transitions. The present study is based on videotaped semi-structured clinical diagnostic interviews with three persons with schizophrenia. We measured duration of silence or overlap in every turn-transition using Praat software. The participants differed considerably from each other. All of them seemed to display more delays in responding to manual-based questions taken from the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID I) and to questions concerning supra-categories and proverbs. Qualitative analysis of the interview with the most dysfluent participant showed that topic-shifting and new-sequence-beginning questions caused more prolonged latencies than sequence-continuing questions. Moreover, questions that required more detailed description or reflection of psychotic experiences seemed to be problematic. We observed that the doctor adapted his tempo to the participant’s fluency. In addition, the doctor often produced expansions or tag questions when he noticed that the participant had difficulties in responding without a latency. Based on the measures and findings of the qualitative analyses, we presume that both individual psychopathology and contextual factors affect turn-transitional response patterns.
{"title":"Are schizophrenia patients’ response latencies in semi-structured diagnostic interviews merely a sign of pathology or are they context sensitive?","authors":"Pertti Hella, S. Werner, H. Koivumaa-Honkanen, J. Hintikka, H. Koponen","doi":"10.1558/cam.21790","DOIUrl":"https://doi.org/10.1558/cam.21790","url":null,"abstract":"Prolonged pause duration in speech is a typical phenomenon of schizophrenia. Despite this, however, studies have not previously focused on prolonged pause in clinical diagnostic interviews, nor has there been any consideration of whether silences occur within turns or in turn-transitions. The present study is based on videotaped semi-structured clinical diagnostic interviews with three persons with schizophrenia. We measured duration of silence or overlap in every turn-transition using Praat software. The participants differed considerably from each other. All of them seemed to display more delays in responding to manual-based questions taken from the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID I) and to questions concerning supra-categories and proverbs. Qualitative analysis of the interview with the most dysfluent participant showed that topic-shifting and new-sequence-beginning questions caused more prolonged latencies than sequence-continuing questions. Moreover, questions that required more detailed description or reflection of psychotic experiences seemed to be problematic. We observed that the doctor adapted his tempo to the participant’s fluency. In addition, the doctor often produced expansions or tag questions when he noticed that the participant had difficulties in responding without a latency. Based on the measures and findings of the qualitative analyses, we presume that both individual psychopathology and contextual factors affect turn-transitional response patterns.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81329170","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}
The aim of this study is to describe the communicative strategies nurses and patients use on a micro level to ensure patient understanding during discharge discussions. The data of the study consist of 16 videotaped discharge encounters (total duration 1 h 40 mins) between nurses and patients in Finland, which were analyzed using conversation analysis. The findings reveal that patients express understanding or troubles in understanding by subtle means, such as response particles. Nurses monitor patients’ reactions and adapt their subsequent actions to them, for instance by moving on to the next topic or by giving additional explanations. They also pursue expressions of understanding when needed, e.g., by prolonging the topic. This gives the patient time to react and more material to get a grip on the topic, thus facilitating displays of understanding. As a result, even if the discharge discussions consist mostly of information delivery that resembles a monological practice, the interaction is collaboratively constructed to secure patient understanding. A raised awareness of good practices already in use to secure understanding can contribute to further developing the guidelines for discharge education.
{"title":"Securing patient understanding in nurse–patient discharge discussions","authors":"Inkeri Lehtimaja","doi":"10.1558/cam.21939","DOIUrl":"https://doi.org/10.1558/cam.21939","url":null,"abstract":"The aim of this study is to describe the communicative strategies nurses and patients use on a micro level to ensure patient understanding during discharge discussions. The data of the study consist of 16 videotaped discharge encounters (total duration 1 h 40 mins) between nurses and patients in Finland, which were analyzed using conversation analysis. The findings reveal that patients express understanding or troubles in understanding by subtle means, such as response particles. Nurses monitor patients’ reactions and adapt their subsequent actions to them, for instance by moving on to the next topic or by giving additional explanations. They also pursue expressions of understanding when needed, e.g., by prolonging the topic. This gives the patient time to react and more material to get a grip on the topic, thus facilitating displays of understanding. As a result, even if the discharge discussions consist mostly of information delivery that resembles a monological practice, the interaction is collaboratively constructed to secure patient understanding. A raised awareness of good practices already in use to secure understanding can contribute to further developing the guidelines for discharge education.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81751800","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}
Ditte Laursen, Matilde Nisbeth Brøgger, Antoinette Fage-Butler, Jane Ege Møller, Anette Grønning
Electronic communication between patients and general practitioners (GPs), known as e-consultations, was introduced in Denmark as a cost-effective and convenient means for patients to access their GP and receive test results as well as answers to quick questions. Research on e-consultations internationally has found that patients are generally very positive, while doctors are more hesitant. Most studies of e-consultations have involved survey or interview methodologies, while studies of their content, form or language are limited. In this study, we address this gap by proposing that genre may be a productive concept for comprehending textual aspects of e-consultations. We explore the following two questions: (1) what are the generic characteristics of the e-consultation?; and (2) do e-consultations belong to the email genre? Based on an analysis of two Danish corpora of patients’ first turns in e-consultations with their GPs, we identify an underlying move structure: subject, opening, update, problem presentation, request, argumentation, closing. We argue that the e-consultation is an example of an email genre with identifiable conventions, which are both specific to the communicative function of e-consultations and aligned with generic features of emails.
{"title":"Generic characteristics of patients’ e-consultations with general practitioners","authors":"Ditte Laursen, Matilde Nisbeth Brøgger, Antoinette Fage-Butler, Jane Ege Møller, Anette Grønning","doi":"10.1558/cam.22885","DOIUrl":"https://doi.org/10.1558/cam.22885","url":null,"abstract":"Electronic communication between patients and general practitioners (GPs), known as e-consultations, was introduced in Denmark as a cost-effective and convenient means for patients to access their GP and receive test results as well as answers to quick questions. Research on e-consultations internationally has found that patients are generally very positive, while doctors are more hesitant. Most studies of e-consultations have involved survey or interview methodologies, while studies of their content, form or language are limited. In this study, we address this gap by proposing that genre may be a productive concept for comprehending textual aspects of e-consultations. We explore the following two questions: (1) what are the generic characteristics of the e-consultation?; and (2) do e-consultations belong to the email genre? Based on an analysis of two Danish corpora of patients’ first turns in e-consultations with their GPs, we identify an underlying move structure: subject, opening, update, problem presentation, request, argumentation, closing. We argue that the e-consultation is an example of an email genre with identifiable conventions, which are both specific to the communicative function of e-consultations and aligned with generic features of emails.","PeriodicalId":39728,"journal":{"name":"Communication and Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75008118","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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