TY - JOUR
T1 - Modes of Interaction in Naturally Occurring Medical Encounters With General Practitioners
T2 - The “One in a Million” Study
AU - Lian, Olaug
AU - Nettleton, Sarah
AU - Wifstad, Age
AU - Dowrick, Christopher
N1 - © The Author(s) 2021
PY - 2021/5/1
Y1 - 2021/5/1
N2 - In this article, we qualitatively explore the manner and style in which medical encounters between patients and
general practitioners (GPs) are mutually conducted, as exhibited in situ in 10 consultations sourced from the One
in a Million: Primary Care Consultations Archive in England. Our main objectives are to identify interactional modes,
to develop a classification of these modes, and to uncover how modes emerge and shift both within and between
consultations. Deploying an interactional perspective and a thematic and narrative analysis of consultation transcripts,
we identified five distinctive interactional modes: question and answer (Q&A) mode, lecture mode, probabilistic
mode, competition mode, and narrative mode. Most modes are GP-led. Mode shifts within consultations generally
map on to the chronology of the medical encounter. Patient-led narrative modes are initiated by patients themselves,
which demonstrates agency. Our classification of modes derives from complete naturally occurring consultations,
covering a wide range of symptoms, and may have general applicability.
AB - In this article, we qualitatively explore the manner and style in which medical encounters between patients and
general practitioners (GPs) are mutually conducted, as exhibited in situ in 10 consultations sourced from the One
in a Million: Primary Care Consultations Archive in England. Our main objectives are to identify interactional modes,
to develop a classification of these modes, and to uncover how modes emerge and shift both within and between
consultations. Deploying an interactional perspective and a thematic and narrative analysis of consultation transcripts,
we identified five distinctive interactional modes: question and answer (Q&A) mode, lecture mode, probabilistic
mode, competition mode, and narrative mode. Most modes are GP-led. Mode shifts within consultations generally
map on to the chronology of the medical encounter. Patient-led narrative modes are initiated by patients themselves,
which demonstrates agency. Our classification of modes derives from complete naturally occurring consultations,
covering a wide range of symptoms, and may have general applicability.
U2 - 10.1177/1049732321993790
DO - 10.1177/1049732321993790
M3 - Article
SN - 1049-7323
VL - 31
SP - 1129
EP - 1143
JO - Qualitative Health Research
JF - Qualitative Health Research
IS - 6
ER -