The opening phase of telemedicine consultations: an analysis of interaction
Name:
Publisher version
View Source
Access full-text PDFOpen Access
View Source
Check access options
Check access options
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.1229-1237Publisher
ElsevierJournal
Social Science & MedicineAdditional Links
http://linkinghub.elsevier.com/retrieve/pii/S0277953609000124Type
ArticleLanguage
enISSN
02779536ae974a485f413a2113503eed53cd6c53
10.1016/j.socscimed.2009.01.011