The potential of argumentation theory in enhancing patient-centered care in breaking bad news encounters
Autor: | Orit Karnieli-Miller, Galit Neufeld-Kroszynski |
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Rok vydání: | 2018 |
Předmět: |
Linguistics and Language
Medical communication 030503 health policy & services Communication Treatment options Patient-centered care Language and Linguistics Argumentation theory 03 medical and health sciences 0302 clinical medicine Engineering ethics 030212 general & internal medicine Treatment decision making 0305 other medical science Psychology |
Zdroj: | Journal of Argumentation in Context. 7:120-137 |
ISSN: | 2211-4750 2211-4742 |
DOI: | 10.1075/jaic.18023.kar |
Popis: | Recent research on medical communication discusses the role of argumentation in building physician-patient consensus to enhance shared decision-making. This paper focuses on the potential of using argumentation to establish the preliminary step of shared understanding of the diagnosis. This understanding is important in helping patients accept the disease and in increasing their involvement in care. We conducted an in-depth analysis of an observation of a medical encounter, triangulated with interviews with all participants, to illustrate how the lack of clear information and argumentation concerning the disease hindered the patient’s understanding and acceptance of it. This in turn led to difficulties in building a trusting relationship and in reaching treatment decisions. We discuss how using argumentation focused on the disease can allow a fruitful patient-centered discussion about the medical condition and treatment options. |
Databáze: | OpenAIRE |
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