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Article: The power of suggestion: examining the impact of presence or absence of shared first language in the antenatal clinic

TitleThe power of suggestion: examining the impact of presence or absence of shared first language in the antenatal clinic
Authors
Keywordsprenatal care/testing
conversation analysis
doctor‐patient communication/interaction
midwifery
shared decision‐making
Issue Date2019
PublisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1467-9566
Citation
Sociology of Health and Illness, 2019, v. 41 n. 6, p. 1120-1137 How to Cite?
AbstractHealthcare encounters involving participants from diverse linguistic backgrounds are becoming more common due to the globalisation of health care and increasing migration levels. Research suggests that this diversity has a significant impact on health outcomes; however less is known about how it is managed in the actual consultation process. This article presents an analysis of antenatal screening consultations video recorded in Hong Kong, using conversation analysis. We consider how the use of a second or subsequent language impacts on these consultations, and on discussions and decisions about further action. The presence or absence of shared first language did not appear to affect the extent to which particular courses of action were promoted or recommended. Recommendations were a common occurrence across consultations with and without shared first language. However, we argue that the routine use of recommendations can be consequential, as second language speakers may have more limited resources to interrogate or contest these. This finding has implications for the ability for professionals to maximise patient involvement in decision‐making.
Persistent Identifierhttp://hdl.handle.net/10722/277162
ISSN
2023 Impact Factor: 2.7
2023 SCImago Journal Rankings: 1.190
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorPilnick, A-
dc.contributor.authorZayts, OA-
dc.date.accessioned2019-09-20T08:45:46Z-
dc.date.available2019-09-20T08:45:46Z-
dc.date.issued2019-
dc.identifier.citationSociology of Health and Illness, 2019, v. 41 n. 6, p. 1120-1137-
dc.identifier.issn0141-9889-
dc.identifier.urihttp://hdl.handle.net/10722/277162-
dc.description.abstractHealthcare encounters involving participants from diverse linguistic backgrounds are becoming more common due to the globalisation of health care and increasing migration levels. Research suggests that this diversity has a significant impact on health outcomes; however less is known about how it is managed in the actual consultation process. This article presents an analysis of antenatal screening consultations video recorded in Hong Kong, using conversation analysis. We consider how the use of a second or subsequent language impacts on these consultations, and on discussions and decisions about further action. The presence or absence of shared first language did not appear to affect the extent to which particular courses of action were promoted or recommended. Recommendations were a common occurrence across consultations with and without shared first language. However, we argue that the routine use of recommendations can be consequential, as second language speakers may have more limited resources to interrogate or contest these. This finding has implications for the ability for professionals to maximise patient involvement in decision‐making.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1467-9566-
dc.relation.ispartofSociology of Health and Illness-
dc.rightsPreprint This is the pre-peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. Postprint This is the peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.-
dc.subjectprenatal care/testing-
dc.subjectconversation analysis-
dc.subjectdoctor‐patient communication/interaction-
dc.subjectmidwifery-
dc.subjectshared decision‐making-
dc.titleThe power of suggestion: examining the impact of presence or absence of shared first language in the antenatal clinic-
dc.typeArticle-
dc.identifier.emailZayts, OA: zayts@hkucc.hku.hk-
dc.identifier.authorityZayts, OA=rp01211-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/1467-9566.12888-
dc.identifier.pmid31278758-
dc.identifier.scopuseid_2-s2.0-85063992302-
dc.identifier.hkuros305828-
dc.identifier.volume41-
dc.identifier.issue6-
dc.identifier.spage1120-
dc.identifier.epage1137-
dc.identifier.isiWOS:000474287200009-
dc.publisher.placeUnited Kingdom-
dc.identifier.issnl0141-9889-

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