Clemente2008

From emcawiki
Jump to: navigation, search
Clemente2008
BibType ARTICLE
Key Clemente2008
Author(s) Ignasi Clemente, Seung-Hee Lee, John Heritage
Title Children in chronic pain: Promoting pediatric patients' symptom accounts in tertiary care
Editor(s)
Tag(s) EMCA, Medical EMCA, Children, Chronic Pain, Patient Participation
Publisher
Year 2008
Language
City
Month
Journal Social Science & Medicine
Volume 66
Number 6
Pages 1418–1428
URL Link
DOI 10.1016/j.socscimed.2007.11.015
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

Download BibTex

Abstract

This paper examines how clinicians promote pediatric patients' symptom accounts at the beginning of visits in three pediatric tertiary care clinics at a university hospital in the United States: pain, gastroenterology and neurology. Quantitative and qualitative data were collected for 69 patient–parent pairs, including videotaped intake visits. Two forms of child account promotion, together with their corresponding distribution across clinics, were identified: (1) Epistemic prefaces were used to upgrade the patient's epistemic status and to establish the child as primary informant; and, (2) non-focused questioning was used to permit children latitude in the formulation of symptoms and experiences. In general, epistemic prefaces were characteristic of the gastroenterology and neurology visits, while non-focused questioning was found overwhelmingly in the pain encounters.

Notes