Patient involvement in problem presentation and diagnosis delivery in primary care

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dc.contributor University of Helsinki, Helsinki Collegium for Advanced Studies en
dc.contributor.author Ijäs-Kallio, Taru
dc.contributor.author Ruusuvuori, Johanna Elisabeth
dc.contributor.author Peräkylä, Anssi
dc.date.accessioned 2012-02-07T10:00:01Z
dc.date.available 2012-02-07T10:00:01Z
dc.date.issued 2010
dc.identifier.citation Ijäs-Kallio , T , Ruusuvuori , J E & Peräkylä , A 2010 , ' Patient involvement in problem presentation and diagnosis delivery in primary care ' Communication & Medicine , vol. 7 , no. 2 , pp. 131-141 . en
dc.identifier.issn 1612-1783
dc.identifier.other PURE: 10954558
dc.identifier.other PURE UUID: 4cb924db-3ee8-42b4-af33-00a2ef29624e
dc.identifier.other Scopus: 79953779335
dc.identifier.uri http://hdl.handle.net/10138/29637
dc.description.abstract This article reports a conversation analytic study of primary care physicians’ orientations to different types of patients’ problem presentation. Four types of problem presentation are examined: 1) symptoms only, 2) candidate diagnosis, 3) diagnosis implicative symptom description, and 4) candidate diagnosis as background information. The analysis shows that both in receiving the problem presentation at the beginning of the visit and in delivering a diagnosis later on, doctors address the patients’ presentations which involved or implied a candidate diagnosis. In contrast, following a symptoms-only type of problem presentation such references predominantly are not made. The study suggests that patients’ problem presentation has a crucial role in shaping the doctor’s communication patterns also in the phases of consultation in which the patient’s active participation is of lesser significance, such as the diagnostic phase. The findings are discussed in relation to the question of patient participation in the medical consultation. The data consist of 86 video-recorded Finnish primary care consultations for upper respiratory tract infection including both child and adult patients. en
dc.format.extent 11
dc.language.iso eng
dc.relation.ispartof Communication & Medicine
dc.rights en
dc.title Patient involvement in problem presentation and diagnosis delivery in primary care en
dc.type Article
dc.description.version Peer reviewed
dc.type.uri info:eu-repo/semantics/other
dc.type.uri info:eu-repo/semantics/publishedVersion
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