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The organization of action and activ...

Robinson, Jeffrey David.

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The organization of action and activity in primary-care, doctor-patient consultations.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The organization of action and activity in primary-care, doctor-patient consultations./
Author:	Robinson, Jeffrey David.
Description:	500 p.
Notes:	Source: Dissertation Abstracts International, Volume: 60-10, Section: A, page: 3800.
Contained By:	Dissertation Abstracts International60-10A.
Subject:	Sociology, General. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9947036
ISBN:	0599491973

The organization of action and activity in primary-care, doctor-patient consultations.
Robinson, Jeffrey David.

The organization of action and activity in primary-care, doctor-patient consultations. - 500 p.

Source: Dissertation Abstracts International, Volume: 60-10, Section: A, page: 3800.

Thesis (Ph.D.)--University of California, Los Angeles, 1999.

This dissertation uses the methodology of conversation analysis to examine the social organization of action and activity in one particular form of medical practice: naturally occurring interaction between doctors and patients during general-practice consultations. Chapter 1 situates the dissertation within prior research, critiques the methodology of coding, reviews the methodology of conversation analysis, and describes the data for the dissertation. Chapter 2 examines the activity of opening consultations. This chapter describes the vocal and nonvocal, tasks that routinely get accomplished during openings, their normative organization, how that organization is achieved vocally and nonvocally, and how it is consequential for the production and understanding of talk and other conduct in interaction. Chapter 3 examines the action of doctors soliciting patients' presenting concerns. This chapter argues that patients' presenting concerns tend to duster into three different types: new, follow-up, and routine. This chapter demonstrates that different solicitation turn designs can accomplish different social actions, which communicate different understandings of patients' types of presenting concerns, and that doctors are held accountable for designing their solicitations so as to be appropriate for patients' presenting concerns. Chapter 4 describes the phase or activity organization of a large-scale medical project: solving patients' new medical problems. This project is composed of a normatively ordered sequence of subactivities: patients' presentations of new medical problems, doctors gathering information (through history taking and physical examination), doctors delivering diagnoses, and doctors providing treatment. Chapter 5 describes two types of interactional practices that doctors and patients use to negotiate the closure of the business of consultations and a transition into the activity of dosing. Specifically, this chapter describes two doctor-initiated sequences, the 'arrangement-related' business-preclosing sequence and the 'final-business' business-predosing sequence. These two sequences have different implications for patients' initiations of additional concerns and questions. Chapter 6 reviews the analytic phenomena, discusses directions for future research, and discusses connections to other areas of research. Implications for health-care research and practice are discussed throughout.

ISBN: 0599491973Subjects--Topical Terms:

1017541
Sociology, General.

The organization of action and activity in primary-care, doctor-patient consultations.
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035 $a (UnM)AAI9947036
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100 1 $a Robinson, Jeffrey David. $3 1908396
245 1 4 $a The organization of action and activity in primary-care, doctor-patient consultations.
300 $a 500 p.
500 $a Source: Dissertation Abstracts International, Volume: 60-10, Section: A, page: 3800.
500 $a Chair: John Heritage.
502 $a Thesis (Ph.D.)--University of California, Los Angeles, 1999.
520 $a This dissertation uses the methodology of conversation analysis to examine the social organization of action and activity in one particular form of medical practice: naturally occurring interaction between doctors and patients during general-practice consultations. Chapter 1 situates the dissertation within prior research, critiques the methodology of coding, reviews the methodology of conversation analysis, and describes the data for the dissertation. Chapter 2 examines the activity of opening consultations. This chapter describes the vocal and nonvocal, tasks that routinely get accomplished during openings, their normative organization, how that organization is achieved vocally and nonvocally, and how it is consequential for the production and understanding of talk and other conduct in interaction. Chapter 3 examines the action of doctors soliciting patients' presenting concerns. This chapter argues that patients' presenting concerns tend to duster into three different types: new, follow-up, and routine. This chapter demonstrates that different solicitation turn designs can accomplish different social actions, which communicate different understandings of patients' types of presenting concerns, and that doctors are held accountable for designing their solicitations so as to be appropriate for patients' presenting concerns. Chapter 4 describes the phase or activity organization of a large-scale medical project: solving patients' new medical problems. This project is composed of a normatively ordered sequence of subactivities: patients' presentations of new medical problems, doctors gathering information (through history taking and physical examination), doctors delivering diagnoses, and doctors providing treatment. Chapter 5 describes two types of interactional practices that doctors and patients use to negotiate the closure of the business of consultations and a transition into the activity of dosing. Specifically, this chapter describes two doctor-initiated sequences, the 'arrangement-related' business-preclosing sequence and the 'final-business' business-predosing sequence. These two sequences have different implications for patients' initiations of additional concerns and questions. Chapter 6 reviews the analytic phenomena, discusses directions for future research, and discusses connections to other areas of research. Implications for health-care research and practice are discussed throughout.
590 $a School code: 0031.
650 4 $a Sociology, General. $3 1017541
650 4 $a Speech Communication. $3 1017408
650 4 $a Health Sciences, Medicine and Surgery. $3 1017756
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690 $a 0459
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710 2 0 $a University of California, Los Angeles. $3 626622
773 0 $t Dissertation Abstracts International $g 60-10A.
790 1 0 $a Heritage, John, $e advisor
790 $a 0031
791 $a Ph.D.
792 $a 1999
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9947036