Difference between revisions of "Webb-vomLehn-Heath-Gibson-Evans2013"

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|Author(s)=Helena Webb; Dirk vom Lehn; Christian Heath; Will Gibson; Bruce J. W. Evans
 
|Author(s)=Helena Webb; Dirk vom Lehn; Christian Heath; Will Gibson; Bruce J. W. Evans
 
|Title=The problem with “problems”: The case of openings in optometry consultations
 
|Title=The problem with “problems”: The case of openings in optometry consultations
|Tag(s)=EMCA; Opening sequences; Optometry;  
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|Tag(s)=EMCA; Opening sequences; Optometry;
 
|Key=Webb-vomLehn-Heath-Gibson-Evans2013
 
|Key=Webb-vomLehn-Heath-Gibson-Evans2013
 
|Year=2013
 
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|Volume=46
 
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|Pages=65-83
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|Pages=65–83
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|URL=http://www.tandfonline.com/doi/abs/10.1080/08351813.2012.753724
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|DOI=10.1080/08351813.2012.753724
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|Abstract=This article contributes to conversation analytic understanding of openings in health-care consultations. It focuses on the case of optometry: a form of health-care practice in which an optometrist conducts checks of a patient's vision and eye health. Patients are advised to attend regularly for routine assessments and can also request a specific appointment at any time. Analysis of a corpus of 66 consultations shows what happens when the optometrist's opening question solicits the client's “problems” with their eyes. We find three types of patient response. Patients who have requested a specific appointment (most often) report a problem with their eyes and establish a problem-purpose encounter. Patients attending for a routinely timed appointment either report no problems and establish a routine-assessment purpose, or if they do have a problem, they delay reporting it or downplay it. We track through what happens subsequently. The findings have practical implications for diagnosis and treatment.
 
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Revision as of 02:30, 27 February 2016

Webb-vomLehn-Heath-Gibson-Evans2013
BibType ARTICLE
Key Webb-vomLehn-Heath-Gibson-Evans2013
Author(s) Helena Webb, Dirk vom Lehn, Christian Heath, Will Gibson, Bruce J. W. Evans
Title The problem with “problems”: The case of openings in optometry consultations
Editor(s)
Tag(s) EMCA, Opening sequences, Optometry
Publisher
Year 2013
Language
City
Month
Journal Research on Language and Social Interaction
Volume 46
Number 1
Pages 65–83
URL Link
DOI 10.1080/08351813.2012.753724
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

This article contributes to conversation analytic understanding of openings in health-care consultations. It focuses on the case of optometry: a form of health-care practice in which an optometrist conducts checks of a patient's vision and eye health. Patients are advised to attend regularly for routine assessments and can also request a specific appointment at any time. Analysis of a corpus of 66 consultations shows what happens when the optometrist's opening question solicits the client's “problems” with their eyes. We find three types of patient response. Patients who have requested a specific appointment (most often) report a problem with their eyes and establish a problem-purpose encounter. Patients attending for a routinely timed appointment either report no problems and establish a routine-assessment purpose, or if they do have a problem, they delay reporting it or downplay it. We track through what happens subsequently. The findings have practical implications for diagnosis and treatment.

Notes