Patient-centred discourse in sexual and reproductive health consultations

de Silva Joyce, H; Slade, D; Bateson, D; Scheeres, H; McGregor, J; Weisberg, E

Patient-centred discourse in sexual and reproductive health consultations

de Silva Joyce, H Slade, D

Bateson, D Scheeres, H McGregor, J Weisberg, E

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Publication Type:: Journal Article
Citation:: Discourse and Communication, 2015, 9 (3), pp. 275 - 292
Issue Date:: 2015-01-01

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Field	Value	Language
dc.contributor.author	de Silva Joyce, H	en_US
dc.contributor.author	Slade, D https://orcid.org/0000-0001-6143-5989	en_US
dc.contributor.author	Bateson, D	en_US
dc.contributor.author	Scheeres, H	en_US
dc.contributor.author	McGregor, J	en_US
dc.contributor.author	Weisberg, E	en_US
dc.date.issued	2015-01-01	en_US
dc.identifier.citation	Discourse and Communication, 2015, 9 (3), pp. 275 - 292	en_US
dc.identifier.issn	1750-4813	en_US
dc.identifier.uri	http://hdl.handle.net/10453/36241
dc.description.abstract	© The Author(s) 2015 There is an increasing recognition internationally of the critical impact of communication within healthcare. The link between ineffective communication, patient dissatisfaction and critical incidents is well established. Family Planning New South Wales (FPNSW) has sought to address patient-centred care and communication in its policy platform. This article reports on research conducted within FPNSW, which analysed the discourse features that constituted effective doctor–patient1 communication in sexual and reproductive health consultations. The principal aim of the research was to understand how effectively messages were conveyed and received and to what degree patients were active participants in their own sexual healthcare. Analysed consultations were characterised by extremely high levels of communicative competence on the part of the doctors who integrated medical expertise with the development of interpersonal relationships with patients, thus positioning patients as active contributors to the consultations and to decisions about their ongoing treatment. The detailed linguistic analysis identified characteristic features of patient-centred communication that are essential to patient-centred care. These interactions demonstrate that communicating care is just as important as delivering care and involves a drawing together of the medical and the interpersonal in consultations. The article details strategies for interweaving medical knowledge and establishing rapport that can inform practitioner communication practices across different healthcare contexts.	en_US
dc.relation.ispartof	Discourse and Communication	en_US
dc.relation.isbasedon	10.1177/1750481315571162	en_US
dc.title	Patient-centred discourse in sexual and reproductive health consultations	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	9	en_US
utslib.for	1702 Cognitive Sciences	en_US
utslib.for	2001 Communication and Media Studies	en_US
utslib.for	2004 Linguistics	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Arts and Social Sciences
pubs.organisational-group	/University of Technology Sydney/Faculty of Arts and Social Sciences/Communication & Learning Group
pubs.organisational-group	/University of Technology Sydney/Faculty of Arts and Social Sciences/School of International Studies
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	9	en_US

Abstract:

© The Author(s) 2015 There is an increasing recognition internationally of the critical impact of communication within healthcare. The link between ineffective communication, patient dissatisfaction and critical incidents is well established. Family Planning New South Wales (FPNSW) has sought to address patient-centred care and communication in its policy platform. This article reports on research conducted within FPNSW, which analysed the discourse features that constituted effective doctor–patient1 communication in sexual and reproductive health consultations. The principal aim of the research was to understand how effectively messages were conveyed and received and to what degree patients were active participants in their own sexual healthcare. Analysed consultations were characterised by extremely high levels of communicative competence on the part of the doctors who integrated medical expertise with the development of interpersonal relationships with patients, thus positioning patients as active contributors to the consultations and to decisions about their ongoing treatment. The detailed linguistic analysis identified characteristic features of patient-centred communication that are essential to patient-centred care. These interactions demonstrate that communicating care is just as important as delivering care and involves a drawing together of the medical and the interpersonal in consultations. The article details strategies for interweaving medical knowledge and establishing rapport that can inform practitioner communication practices across different healthcare contexts.

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http://hdl.handle.net/10453/36241