Izumi2022

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Izumi2022
BibType ARTICLE
Key Izumi2022
Author(s) Hiroaki Izumi
Title The search for discharge facilities in Japanese rehabilitation team interaction
Editor(s)
Tag(s) EMCA, Japanese, Rehabilitation, Conversation Analysis
Publisher
Year 2022
Language English
City
Month
Journal Human Studies
Volume 45
Number 2
Pages 361-387
URL Link
DOI 10.1007/s10746-022-09623-9
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Using conversation analysis, this study investigates how Japanese rehabilitation team members use their geographic knowledge to search for long-term care facilities for stroke survivors in multidisciplinary team interactions. The study uncovers the orderly use of decision rules during discharge planning activities by exploring the following two questions: (1) What decision criteria are discursively used? (2) In what order are the criteria handled through sequential operations? The data comprise 65 video-recorded rehabilitation team meetings and ethnographic information regarding local care facilities and patients’ residential addresses. The analysis shows that the participants deal with decision criteria in an orderly manner. They identify the type of facility and location preferred by the patient’s family and search for a facility accordingly. Moreover, they routinely select facilities closer to the patients’ and their families’ homes. However, these rules are modified if the family’s choice is inappropriate, or when a facility in a different location is preferred by the family. The study contributes to the conversation analytic understanding of interprofessional decision making and prioritization through the analysis of orderly methods of search procedures interactively accomplished by participants in ongoing medical team interactions.

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