scholarly journals Understanding misunderstandings. Presuppositions and presumptions in doctor-patient chronic care consultations

2017 ◽  
Vol 14 (1) ◽  
Author(s):  
Fabrizio Macagno ◽  
Sarah Bigi
Keyword(s):  
Cultural Differences ◽  
Subject Matter ◽  
Chronic Care ◽  
Patient Communication ◽  
Reasoning Process ◽  
Doctor Patient Communication ◽  
Medical Context ◽  
The Relationship ◽  
Presumptive Reasoning ◽  
Pragmatic Presupposition

AbstractPragmatic presupposition is analyzed as grounded on an implicit reasoning process based on a set of presumptions, which can define cultural differences. The basic condition for presupposing a proposition is represented as a reasoning criterion, namely reasonableness. Presuppositions, on this view, need to be reasonable, namely they need to be the reasonable conclusions of an underlying presumptive reasoning, which does not or may not contain contradictions with other presumptions. Presumptions are in turn analyzed considering their nature and their hierarchy, namely their subject matter and their possible contextual backing, which eliminates some of their possible defaults. This analysis of presupposition brings to light the relationship between misunderstandings deriving from presuppositional failures and the underlying system of presumptions. This approach is applied to the investigation of communicative issues within the medical context, and more precisely doctor-patient communication in diabetes cases.

Evidence and presumptions for analyzing and detecting misunderstandings

2017 ◽  
Vol 24 (2) ◽  
pp. 263-296 ◽  
Author(s):  
Fabrizio Macagno
Keyword(s):  
Discourse Analysis ◽  
Diabetes Care ◽  
Functional Approach ◽  
Patient Communication ◽  
Doctor Patient Communication ◽  
Presumptive Reasoning

Abstract The detection and analysis of misunderstandings are crucial aspects of discourse analysis, and presuppose a twofold investigation of their structure. First, misunderstandings need to be identified and, more importantly, justified. For this reason, a classification of the types and force of evidence of a misunderstanding is needed. Second, misunderstandings reveal differences in the interlocutors’ interpretations of an utterance, which can be examined by considering the presumptions that they use in their interpretation. This paper proposes a functional approach to misunderstandings grounded on presumptive reasoning and types of presumptions, in which incompatible interpretations or interpretative failures are examined as defaults of the underlying interpretative reasoning, caused by overlooked evidence or conflicting presumptions. Moreover, it advances a classification of the types and the probative weights of the evidence that can be used to detect misunderstandings. The proposed methodology and its implications are illustrated through the analysis of doctor–patient communication in diabetes care.

scholarly journals Rebuild doctor–patient trust in medical service delivery in China

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Liang Du ◽  
Jia Xu ◽  
Xu Chen ◽  
Xuexue Zhu ◽  
Yu Zhang ◽  
...  
Keyword(s):  
Service Quality ◽  
Service Delivery ◽  
Structural Equation ◽  
Medical Service ◽  
Patient Communication ◽  
Service Satisfaction ◽  
Patient Trust ◽  
Cross Sectional ◽  
Doctor Patient Communication ◽  
The Relationship

AbstractDoctor–patient trust is not strong in China, but studies examining this factor remain insufficient. The present study aimed to explore the effect of doctor–patient communication, medical service quality, and service satisfaction on patient trust in doctors. Five hundred sixty-four patients with tuberculosis participated in this cross-sectional study in Dalian, China. They completed questionnaires assessing socio-demographic characteristics, doctor–patient communication, medical service quality, service satisfaction and patient trust in medical staff. A structural equation model was applied to examine the hypotheses, and all the study hypotheses were supported: (1) doctor–patient communication, medical service quality and service satisfaction were positively associated with building doctor–patient trust; (2) service quality positively mediated the relationship between doctor–patient communication and trust; (3) medical service satisfaction positively mediated the relationship between doctor–patient communication and trust; (4) medical service satisfaction positively mediated the relationship between medical service quality and doctor–patient trust; and (5) medical service quality and service satisfaction were the positively sequential mediators between communication and doctor–patient trust. Based on these findings, improvements in doctor–patient communication, medical service quality, and service satisfaction are the important issues contributing to the rebuilding of doctor–patient trust in medical service delivery.

scholarly journals Illness cognitions, doctor-patient communication and prescription adherence among first diagnosed hypertensive patients from a rural teaching hospital in South Africa

2003 ◽  
Vol 8 (1) ◽  
Author(s):  
K Peltzer ◽  
L Khoza ◽  
M E Lekhuleni ◽  
Alberts M ◽  
J Mekwa ◽  
...  
Keyword(s):  
South Africa ◽  
South African ◽  
Teaching Hospital ◽  
Patient Communication ◽  
Rural South ◽  
Hypertensive Patients ◽  
Doctor Patient Communication ◽  
Illness Cognitions ◽  
Rural Teaching ◽  
The Relationship

This study examines the relationship between illness cognitions, doctor-patient communication and the use of prescribed medication among patients first diagnosed with hypertension in the outpatient department of a rural South African teaching hospital. ABSTRAK Hierdie studie ondersoek die verwantskap tussen siekte-kognisies, dokter-pasiënt kommunikasie en die gebruik van voorskrifmedisyne onder pasiënte wat die eerste keer met hipertensie gediagnoseer is, in die buitepasiëntafdeling van ‘n landelike Suid-Afrikaanse opleidingshospitaal.

scholarly journals La atenuación pragmática como estrategia de acercamiento en el Español de la Salud: propuesta didáctica

2017 ◽  
Author(s):  
Marta Gancedo Ruiz
Keyword(s):  
Patient Communication ◽  
Medical Examination ◽  
Bad News ◽  
Pragmatic Competence ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Doctor Patient Communication ◽  
Medical Context ◽  
Giving Bad News

Resumen: El objetivo de este trabajo es aportar una nueva manera de desarrollar la competencia pragmática de los alumnos de Español de la Salud. Para ello, se propone introducir en el aula el trabajo con una estrategia pragmática concreta para facilitar las relaciones médico-paciente, la atenuación, a través de secuencias didácticas contextualizadas en tres situaciones comunicativas concretas del ámbito hospitalario: la exploración física, la transmisión de malas noticias y la reprobación de malas conductas con consejo médico.Palabras clave: Español con Fines Específicos, atenuación, competencia pragmática, relación médico-paciente. Abstract: The aim of this article is to provide a new way to develop the pragmatic competence in Spanish for Medical Purposes. In order to do this, it is suggested to introduce in the classroom the work with a specific pragmatic strategy, mitigation, in order to make easier the doctor-patient communication by using didactic sequences contextualised in three medical situations of the medical context: medical examination, giving bad news and rejection of misconduct.Keywords: Spanish for Specific Purposes, mitigation, pragmatic competence, doctor-patient relationship

scholarly journals Illness cognitions, doctor-patient communication and prescription adherence among first diagnosed hypertensive patients from a rural teaching hospital in South Africa

2003 ◽  
Vol 8 (1) ◽  
Author(s):  
K Peltzer ◽  
L B Khoza ◽  
M E Lekhuleni ◽  
M Alberts ◽  
J Mekwa ◽  
...  
Keyword(s):  
South Africa ◽  
South African ◽  
Teaching Hospital ◽  
Patient Communication ◽  
Rural South ◽  
Hypertensive Patients ◽  
Doctor Patient Communication ◽  
Illness Cognitions ◽  
Rural Teaching ◽  
The Relationship

This study examines the relationship between illness cognitions, doctor-patient communication and the use of prescribed medication among patients first diagnosed with hypertension in the outpatient department of a rural South African teaching hospital. Opsomming Hierdie studie ondersoek die verwantskap tussen siekte-kognisies, dokter-pasiënt kommunikasie en die gebruik van voorskrifmedisyne onder pasiënte wat die eerste keer met hipertensie gediagnoseer is, in die buitepasiëntafdeling van ‘n landelike Suid-Afrikaanse opleidingshospitaal. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

scholarly journals La atenuación pragmática como estrategia de acercamiento en el Español de la Salud: propuesta didáctica

2017 ◽  
Author(s):  
Marta Gancedo Ruiz
Keyword(s):  
Patient Communication ◽  
Medical Examination ◽  
Bad News ◽  
Pragmatic Competence ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Doctor Patient Communication ◽  
Medical Context ◽  
Giving Bad News

Resumen: El objetivo de este trabajo es aportar una nueva manera de desarrollar la competencia pragmática de los alumnos de Español de la Salud. Para ello, se propone introducir en el aula el trabajo con una estrategia pragmática concreta para facilitar las relaciones médico-paciente, la atenuación, a través de secuencias didácticas contextualizadas en tres situaciones comunicativas concretas del ámbito hospitalario: la exploración física, la transmisión de malas noticias y la reprobación de malas conductas con consejo médico.Palabras clave: Español con Fines Específicos, atenuación, competencia pragmática, relación médico-paciente. Abstract: The aim of this article is to provide a new way to develop the pragmatic competence in Spanish for Medical Purposes. In order to do this, it is suggested to introduce in the classroom the work with a specific pragmatic strategy, mitigation, in order to make easier the doctor-patient communication by using didactic sequences contextualised in three medical situations of the medical context: medical examination, giving bad news and rejection of misconduct.Keywords: Spanish for Specific Purposes, mitigation, pragmatic competence, doctor-patient relationship

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