Nielsen2011

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Nielsen2011
BibType ARTICLE
Key Nielsen2011
Author(s) Søren Beck Nielsen
Title Keeping the gate ajar during opens of general practice consultations
Editor(s)
Tag(s) EMCA, Medical EMCA, Conversation Analysis, Gate Keeping, Requests, Problem Presentation, Doctor-patient interaction
Publisher
Year 2011
Language
City
Month
Journal Communication & Medicine
Volume 8
Number 3
Pages 235–245
URL Link
DOI 10.1558/cam.v8i3.235
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

A deferral of stance during the openings of general practice consultations is discussed in this paper as a possible systematic and important device for accomplishing gate keeping. The paper draws upon video recordings of naturally occurring consultations in Denmark. It is found that doctors defer their explicit stances when patients engage in a visit by requesting a specific clinical service (a prescription, a further test, a referral or a sick note etc). Instead of assuming a stance, doctors begin to ask the patients a series of questions, whilst withholding their ‘yes’ or ‘no’ throughout relatively long periods of time.

Notes