Book Introduction: Active patient participation is of great importance to providing high-quality medical care. By employing the method of conversation analysis, this book has probed into patient participation in Chinese community clinics.
Declarative expressions, imperative expressions, and interrogative expressions are those frequently used by patients when they participate in consultations. Patients participate in all stages of communication: history taking, diagnosis, or treatment recommendations. There are four types of social actions performed by patients when they participate in the interaction: making requests, expressing concerns, showing alignment, or showing resistance to doctors. There exist two types of initiations of patient participation in the interaction: self-initiated patient participation and doctor-initiated patient participation. Self-initiated patient participation is closely related to patient agency, while doctor-initiated patient participation indicates the influence of doctors’ communicative behaviors on the involvement of patients.
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