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Article: Patient participation within a globalised patient population: Interactional difficulties in a prenatal counseling context in Hong Kong

TitlePatient participation within a globalised patient population: Interactional difficulties in a prenatal counseling context in Hong Kong
Authors
KeywordsInteractional difficulties
Non-native English
Patient knowledge display
Patient participation
Prenatal genetic counseling
Issue Date2010
PublisherJohn Benjamins.
Citation
Journal Of Asian Pacific Communication, 2010, v. 20 n. 2, p. 169-184 How to Cite?
AbstractData from multicultural contexts add more complexity to many findings regarding healthcare practices that have been reported in the literature. For example, patient participation has been reported to contribute to the enhancement of healthcare results (e.g. Candlin, 2006; Thompson, 2008). However, patient participation may be problematic when participants in the medical encounter face sociocultural and linguistic barriers. In this paper we focus on interactional difficulties that non-native speakers of English encounter in prenatal genetic counseling sessions. These difficulties, we argue, may place limitations on the extent of patient participation, when patient participation is narrowly defined in terms of verbal contributions. The data for the study come from a prenatal genetic counseling clinic in Hong Kong, and the participants of the interactions originate from various countries in the Asia region. Using a conversation analytic approach, we examine interactional difficulties in an attempt to capture the specific challenges faced by healthcare providers and patients in an increasingly diverse healthcare context. We also argue for an ethnographic perspective to examine patient participation in the multilingual context and to highlight dimensions of second language use and cultural diversities as observable evidence of patient participation. © John Benjamins Publishing Company.
Persistent Identifierhttp://hdl.handle.net/10722/124169
ISSN
2015 SCImago Journal Rankings: 0.152
References

 

DC FieldValueLanguage
dc.contributor.authorKang, MAen_HK
dc.contributor.authorZayts, OAen_HK
dc.date.accessioned2010-10-31T10:17:40Z-
dc.date.available2010-10-31T10:17:40Z-
dc.date.issued2010en_HK
dc.identifier.citationJournal Of Asian Pacific Communication, 2010, v. 20 n. 2, p. 169-184en_HK
dc.identifier.issn0957-6851en_HK
dc.identifier.urihttp://hdl.handle.net/10722/124169-
dc.description.abstractData from multicultural contexts add more complexity to many findings regarding healthcare practices that have been reported in the literature. For example, patient participation has been reported to contribute to the enhancement of healthcare results (e.g. Candlin, 2006; Thompson, 2008). However, patient participation may be problematic when participants in the medical encounter face sociocultural and linguistic barriers. In this paper we focus on interactional difficulties that non-native speakers of English encounter in prenatal genetic counseling sessions. These difficulties, we argue, may place limitations on the extent of patient participation, when patient participation is narrowly defined in terms of verbal contributions. The data for the study come from a prenatal genetic counseling clinic in Hong Kong, and the participants of the interactions originate from various countries in the Asia region. Using a conversation analytic approach, we examine interactional difficulties in an attempt to capture the specific challenges faced by healthcare providers and patients in an increasingly diverse healthcare context. We also argue for an ethnographic perspective to examine patient participation in the multilingual context and to highlight dimensions of second language use and cultural diversities as observable evidence of patient participation. © John Benjamins Publishing Company.en_HK
dc.languageengen_HK
dc.publisherJohn Benjamins.en_HK
dc.relation.ispartofJournal of Asian Pacific Communicationen_HK
dc.subjectInteractional difficultiesen_HK
dc.subjectNon-native Englishen_HK
dc.subjectPatient knowledge displayen_HK
dc.subjectPatient participationen_HK
dc.subjectPrenatal genetic counselingen_HK
dc.titlePatient participation within a globalised patient population: Interactional difficulties in a prenatal counseling context in Hong Kongen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0957-6851&volume=20 &issue=2&spage=169&epage=184&date=2010&atitle=Patient+participation+within+a+globalised+patient+population:+Interactional+difficulties+in+a+prenatal+counseling+context+in+Hong+Kongen_HK
dc.identifier.emailZayts, OA: zayts@hkucc.hku.hken_HK
dc.identifier.authorityZayts, OA=rp01211en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1075/japc.20.2.01kanen_HK
dc.identifier.scopuseid_2-s2.0-77955216584en_HK
dc.identifier.hkuros174887en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77955216584&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume20en_HK
dc.identifier.issue2en_HK
dc.identifier.spage169en_HK
dc.identifier.epage184en_HK
dc.publisher.placeNetherlandsen_HK
dc.identifier.scopusauthoridKang, MA=36198419100en_HK
dc.identifier.scopusauthoridZayts, OA=35770053700en_HK
dc.identifier.citeulike7604793-

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