Manning2002

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Manning2002
BibType ARTICLE
Key Manning2002
Author(s) Philip Manning, George B. Ray
Title Setting the agenda: an analysis of negotiation strategies in clinical talk
Editor(s)
Tag(s) medical EMCA, primary care, opening exchanges, clinical talk
Publisher
Year 2002
Language
City
Month
Journal Health Communication
Volume 14
Number 4
Pages 451–473
URL Link
DOI 10.1207/S15327027HC1404_3
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

This article analyzes the process whereby physicians and patients set the agenda for medical interviews. Applying a conversation analytic perspective to the analysis of 22 videotapes of primary care interviews at a large, urban, teaching and research hospital, a 3-stage model is developed, consisting of (a) an opening sequence, (b) an initial statement of concerns by the patient, and (c) the negotiation process. The analysis illustrates the critical function of the opening verbal exchanges, showing how patient responses to the physician's first question and subsequent queries and summaries by the physician are intricately interwoven. The interaction at the very beginning of the interview is shown to significantly alter the ensuing interaction. The analysis provides a discursive framework for analyzing problematic communication during the primary care interview.

Notes