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    The opening phase of telemedicine consultations: an analysis of interaction

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    Authors
    Pappas, Yannis
    Seale, Clive
    Issue Date
    2009
    
    Metadata
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    Abstract
    This paper describes communication in the opening phases of real-time, video-mediated telemedicine consultations, using the method of conversation analysis, in three NHS settings in the UK. The literature on interaction analysis in face-to-face medical consultations indicates that physicians' capacity to determine topics in consultations is established in the opening phases of the encounter. This is because patients concede the communicative floor to physicians who claim it for themselves by using well-established patterns of interaction. Drawing on 10 teleconsultations, the analysis shows that, for health care professionals and patients, video-mediated telemedicine is unfamiliar terrain, where communication requires constant negotiation of skills and roles, this complexity being added to by the fact that more than one professional participates in the encounter.
    Citation
    Papps, Y. & Seale, C. (2009) 'The opening phase of telemedicine consultations: An analysis of interaction', Social Science & Medicine, 68(7), pp.1229-1237
    Publisher
    Elsevier
    Journal
    Social Science & Medicine
    URI
    http://hdl.handle.net/10547/296944
    DOI
    10.1016/j.socscimed.2009.01.011
    Additional Links
    http://linkinghub.elsevier.com/retrieve/pii/S0277953609000124
    Type
    Article
    Language
    en
    ISSN
    02779536
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.socscimed.2009.01.011
    Scopus Count
    Collections
    IHR Institute for Health Research

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