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An ethnographic discourse approach to explore GP-counsellor communication in primary health care settings in Hong Kong

This study aims to explore the nature of GP-counsellor interaction during discussions of patients’ mental health issues in primary care services. An ethnographic discourse analysis of audio-recorded GP-counsellor conversations and the participating counsellor’s reflective accounts. Two participating...

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Detalles Bibliográficos
Autores principales: Pun, Jack, Yu, Qianwen Joyce, Lee, Matthew K. C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9791957/
https://www.ncbi.nlm.nih.gov/pubmed/36578682
http://dx.doi.org/10.3389/fpsyg.2022.943840
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author Pun, Jack
Yu, Qianwen Joyce
Lee, Matthew K. C.
author_facet Pun, Jack
Yu, Qianwen Joyce
Lee, Matthew K. C.
author_sort Pun, Jack
collection PubMed
description This study aims to explore the nature of GP-counsellor interaction during discussions of patients’ mental health issues in primary care services. An ethnographic discourse analysis of audio-recorded GP-counsellor conversations and the participating counsellor’s reflective accounts. Two participating GPs and one counsellor were recruited from a private medical clinic in Hong Kong. The GPs and the counsellor mainly discussed their patients’ issues in terms of medication management, the counsellor’s case conceptualization, the case management, knowledge transfer and acknowledging the partnership. During case discussions, both the GPs and the counsellor used a range of interactional strategies to clarify a patient’s condition and treatment plans for mutual understanding. The GPs and the counsellor co-construct an insider discourse that covers a greater diversity of topics, including both medical and non-medical concerns. The research findings have implications for theory and practice, including the potential of ethnographic discourse analysis in understanding the features of participants’ behavior and evaluating the effectiveness of communication in a particular setting, as well as the importance of exploring professionalized discourse during GP-counsellor communication in developing training programs aimed at enhancing staff awareness of effective IPC communication.
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spelling pubmed-97919572022-12-27 An ethnographic discourse approach to explore GP-counsellor communication in primary health care settings in Hong Kong Pun, Jack Yu, Qianwen Joyce Lee, Matthew K. C. Front Psychol Psychology This study aims to explore the nature of GP-counsellor interaction during discussions of patients’ mental health issues in primary care services. An ethnographic discourse analysis of audio-recorded GP-counsellor conversations and the participating counsellor’s reflective accounts. Two participating GPs and one counsellor were recruited from a private medical clinic in Hong Kong. The GPs and the counsellor mainly discussed their patients’ issues in terms of medication management, the counsellor’s case conceptualization, the case management, knowledge transfer and acknowledging the partnership. During case discussions, both the GPs and the counsellor used a range of interactional strategies to clarify a patient’s condition and treatment plans for mutual understanding. The GPs and the counsellor co-construct an insider discourse that covers a greater diversity of topics, including both medical and non-medical concerns. The research findings have implications for theory and practice, including the potential of ethnographic discourse analysis in understanding the features of participants’ behavior and evaluating the effectiveness of communication in a particular setting, as well as the importance of exploring professionalized discourse during GP-counsellor communication in developing training programs aimed at enhancing staff awareness of effective IPC communication. Frontiers Media S.A. 2022-12-12 /pmc/articles/PMC9791957/ /pubmed/36578682 http://dx.doi.org/10.3389/fpsyg.2022.943840 Text en Copyright © 2022 Pun, Yu and Lee. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Pun, Jack
Yu, Qianwen Joyce
Lee, Matthew K. C.
An ethnographic discourse approach to explore GP-counsellor communication in primary health care settings in Hong Kong
title An ethnographic discourse approach to explore GP-counsellor communication in primary health care settings in Hong Kong
title_full An ethnographic discourse approach to explore GP-counsellor communication in primary health care settings in Hong Kong
title_fullStr An ethnographic discourse approach to explore GP-counsellor communication in primary health care settings in Hong Kong
title_full_unstemmed An ethnographic discourse approach to explore GP-counsellor communication in primary health care settings in Hong Kong
title_short An ethnographic discourse approach to explore GP-counsellor communication in primary health care settings in Hong Kong
title_sort ethnographic discourse approach to explore gp-counsellor communication in primary health care settings in hong kong
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9791957/
https://www.ncbi.nlm.nih.gov/pubmed/36578682
http://dx.doi.org/10.3389/fpsyg.2022.943840
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