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Conference Paper: Understanding the Dental Consultation through Interactional Microanalysis: A Multivariate Approach

TitleUnderstanding the Dental Consultation through Interactional Microanalysis: A Multivariate Approach
Authors
KeywordsBehavioral science
Education research
Health services research and Interactional microanalysis
Issue Date2012
PublisherSage Publications, Inc.. The Journal's web site is located at http://www.sagepub.com/journalsProdDesc.nav?prodId=Journal201925
Citation
The Annual Meeting of the International Association for Dental Research (IADR) Southeast Asian Division, Hong Kong, China, 3-4 November 2012. In Journal of Dental Research, 2012, v. 91 n. Special Issue C: abstract no. 168818 How to Cite?
AbstractObjectives: This qualitative study aims to identify communication patterns through microanalysis of a routine dental consultation. Methods: The first dental consultations of 12 consenting dentists with 70 consenting adult patients from Reception & Primary Care (RPC) in the Prince Philip Dental Hospital (PPDH) were recorded. Recordings were transcribed and sequential analysis conducted to identify internal structures. Conversation Analysis (CA), a micro-analytic approach, was employed to analyse turn distribution patterns, specifically turn signals between stages. The average duration of each identified stage in the initial consultation was also calculated and analysed. Results: A consistent structure of specific stages was identified during each dentist-patient consultation. This generally agreed with findings by Theaker et al. (2000); however, a routine consultation in this screening context differed in that it consisted of two distinct parts, divided by the oral radiology examination. Turn signal patterns indicated a total of six stages in these initial dental consultations, namely Part A: Opening Stage, Oral Problem Presentation Stage, Medical History Taking Stage, Oral Examination Stage, Closing Stage; and Part B Explanation Stage. The average duration of dentist-patient contact was approximately 12.5 minutes. The majority of time was spent on the Oral Examination Stage (approx. 4.5 minutes). Results showed that dentists on average spent less than 2 minutes on the patient’s Oral Problem Presentation Stageand on average only approximately 3 minutes in explaining the oral condition to the patient. Conclusions: This study’s results indicated that specific communication patterns were identifiable in a routine, initial dental consultation and that dentists tend to spend more time explaining than listening.
DescriptionSession: Behavioral, Epidemiologic and Health Services Research
Persistent Identifierhttp://hdl.handle.net/10722/182084
ISSN
2015 Impact Factor: 4.602
2015 SCImago Journal Rankings: 1.714

 

DC FieldValueLanguage
dc.contributor.authorCheng, SSen_US
dc.contributor.authorBridges, SMen_US
dc.contributor.authorYiu, CKYen_US
dc.contributor.authorMcGrath, CPJen_US
dc.date.accessioned2013-04-17T07:20:49Z-
dc.date.available2013-04-17T07:20:49Z-
dc.date.issued2012en_US
dc.identifier.citationThe Annual Meeting of the International Association for Dental Research (IADR) Southeast Asian Division, Hong Kong, China, 3-4 November 2012. In Journal of Dental Research, 2012, v. 91 n. Special Issue C: abstract no. 168818en_US
dc.identifier.issn0022-0345-
dc.identifier.urihttp://hdl.handle.net/10722/182084-
dc.descriptionSession: Behavioral, Epidemiologic and Health Services Research-
dc.description.abstractObjectives: This qualitative study aims to identify communication patterns through microanalysis of a routine dental consultation. Methods: The first dental consultations of 12 consenting dentists with 70 consenting adult patients from Reception & Primary Care (RPC) in the Prince Philip Dental Hospital (PPDH) were recorded. Recordings were transcribed and sequential analysis conducted to identify internal structures. Conversation Analysis (CA), a micro-analytic approach, was employed to analyse turn distribution patterns, specifically turn signals between stages. The average duration of each identified stage in the initial consultation was also calculated and analysed. Results: A consistent structure of specific stages was identified during each dentist-patient consultation. This generally agreed with findings by Theaker et al. (2000); however, a routine consultation in this screening context differed in that it consisted of two distinct parts, divided by the oral radiology examination. Turn signal patterns indicated a total of six stages in these initial dental consultations, namely Part A: Opening Stage, Oral Problem Presentation Stage, Medical History Taking Stage, Oral Examination Stage, Closing Stage; and Part B Explanation Stage. The average duration of dentist-patient contact was approximately 12.5 minutes. The majority of time was spent on the Oral Examination Stage (approx. 4.5 minutes). Results showed that dentists on average spent less than 2 minutes on the patient’s Oral Problem Presentation Stageand on average only approximately 3 minutes in explaining the oral condition to the patient. Conclusions: This study’s results indicated that specific communication patterns were identifiable in a routine, initial dental consultation and that dentists tend to spend more time explaining than listening.-
dc.languageengen_US
dc.publisherSage Publications, Inc.. The Journal's web site is located at http://www.sagepub.com/journalsProdDesc.nav?prodId=Journal201925-
dc.relation.ispartofJournal of Dental Researchen_US
dc.rightsJournal of Dental Research. Copyright © Sage Publications, Inc..-
dc.subjectBehavioral science-
dc.subjectEducation research-
dc.subjectHealth services research and Interactional microanalysis-
dc.titleUnderstanding the Dental Consultation through Interactional Microanalysis: A Multivariate Approachen_US
dc.typeConference_Paperen_US
dc.identifier.emailBridges, SM: sbridges@hku.hken_US
dc.identifier.emailYiu, CKY: ckyyiu@hkucc.hku.hken_US
dc.identifier.emailMcGrath, CPJ: mcgrathc@hkucc.hku.hken_US
dc.identifier.authorityBridges, SM=rp00048en_US
dc.identifier.authorityYiu, CKY=rp00018en_US
dc.identifier.authorityMcGrath, CPJ=rp00037en_US
dc.identifier.hkuros213948en_US
dc.identifier.volume91en_US
dc.identifier.issueSpecial Issue C: abstract no. 168818en_US
dc.publisher.placeUnited States-

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