Ruusuvuori-etal2019a

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Ruusuvuori-etal2019a
BibType ARTICLE
Key Ruusuvuori-etal2019a
Author(s) Johanna Ruusuvuori, Tarja Aaltonen, Eila Lonka, Inkeri Salmenlinna, Minna Laakso
Title Discussing Hearing Aid Rehabilitation at the Hearing Clinic: Patient Involvement in Deciding upon the Need for a Hearing Aid
Editor(s)
Tag(s) EMCA, Health professionals, Hearing aids, Decision-making, Hearing clinic, Deontics, Epistemics
Publisher
Year 2020
Language English
City
Month
Journal Health Communication
Volume 35
Number 9
Pages 1146-1161
URL Link
DOI https://doi.org/10.1080/10410236.2019.1620410
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

The quality of interaction between hearing health professionals and patients is one prominent, yet under-studied explanation for the low adherence in acquiring and using a hearing aid. This study describes two different ways of introducing hearing aid to the patients at their first visits at the hearing clinic: an inquiry asking patients opinion followed by offer, and an expert evaluation of the necessity of a hearing aid; and shows two different trajectories ensuing from these introductions. The trajectories represent two extreme ends of a continuum of practices of starting a discussion about hearing aid rehabilitation, in terms of how these practices affect patient participation in decision-making. The analysis shows how granting different degrees of deontic and epistemic rights to professionals and patients has different consequences with regard to the activity of reaching shared understanding on the treatment. The data consist of 17 video-recorded encounters at the hearing clinic. The method used is conversation analysis.

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