Show simple item record

dc.contributor.authorJ. White, Sarah
dc.contributor.authorH. Stubbe, Maria
dc.contributor.authorM. Macdonald, Lindsay
dc.contributor.authorC. Dowell, Anthony
dc.contributor.authorP. Dew, Kevin
dc.contributor.authorGardner, Rod
dc.date.accessioned2017-06-30T12:31:45Z
dc.date.available2017-06-30T12:31:45Z
dc.date.issued2014
dc.date.modified2014-03-27T03:59:18Z
dc.identifier.issn15327027
dc.identifier.doi10.1080/10410236.2012.718252
dc.identifier.urihttp://hdl.handle.net/10072/57318
dc.description.abstractThis study describes and analyzes the impact of the referral process on communication at the beginning of surgeon-patient consultations. We used conversation analysis to analyze the opening interactional activities of surgeon-patient consultations in New Zealand. This study focuses on 20 video-recorded consultations recorded between 2004 and 2006. Participants in surgeon-patient consultations began referred consultations by discussing the referral letter in what we have termed "referral recognition sequences." These sequences are coconstructed activities that can be implicit or explicit and address the minimized epistemic distance between surgeons and patients that is caused by the referral process. These sequences can be simple or complex, and this complexity may be determined by the quality of the referral letter received. Acknowledgment of the referral letter assists in achieving alignment between surgeon, patient, and referring doctor regarding the presenting problem. If this alignment is not achieved, progressivity of the consultation is affected, as there is disagreement as to why the patient is seeing the surgeon. This research shows that to assist in the progressivity of surgeon-patient consultations, referral letters should be clear and patients made aware of the reason for referral. Surgeons should also overtly address the minimized epistemic distance caused by the referral letter to ensure patients present their problems in full.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherRoutledge
dc.publisher.placeUnited States
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom74
dc.relation.ispartofpageto80
dc.relation.ispartofissue1
dc.relation.ispartofjournalHealth Communication
dc.relation.ispartofvolume29
dc.rights.retentionY
dc.subject.fieldofresearchMedical and Health Sciences not elsewhere classified
dc.subject.fieldofresearchOrganisational, Interpersonal and Intercultural Communication
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchCommunication and Media Studies
dc.subject.fieldofresearchcode119999
dc.subject.fieldofresearchcode200105
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode2001
dc.titleFraming the Consultation: The Role of the Referral in Surgeon-Patient Consultations
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.date.issued2013
gro.hasfulltextNo Full Text
gro.griffith.authorGardner, Rod J.


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record