Yang2024

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Yang2024
BibType ARTICLE
Key Yang2024
Author(s) Zi Yang, Fei Cheng
Title Closing medical encounters in China’s Mainland: Doctors’ fishing for patient-initiated terminal exchanges
Editor(s)
Tag(s) EMCA, generic preclosing, medical interaction, ‘okay’, terminal sequence, health, Mandarin Chinese
Publisher
Year 2024
Language
City
Month
Journal Discourse Studies
Volume 26
Number 4
Pages 552-576
URL Link
DOI 10.1177/14614456231226118
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Drawing on conversation analysis, this paper explores how medical encounters are closed in China’s mainland. Based on a collection of 75 naturally occurring cases, we observe two dominant conversational practices oriented to closing Chinese medical encounters: a stand-alone ‘okay?’ as a generic preclosing initiation, and a gratitude-expressing action as the initiation of the closing sequence. Through a further examination of salient closing patterns in our data, we propose that Chinese doctors prefer fishing for patients’ initiation of the terminal exchange to closing the medical interaction by themselves. The ways of and reasons for eliciting a patient-initiated closure are also discussed. This study may provide a frame of reference for studying medical closures in other cultures and have implications for cross-cultural comparison.

Notes