“It Looks Like You’re Making Very Healthy Choices”
Attending to the Lifeworld and Medicine in Photo-Based Talk in Primary Care
Bibliographic Data
| ID | 21617524 |
|---|---|
| Authors | Evelyn Y Ho (0000-0001-8629-0122, University of San Francisco, corresponding author), Genevieve Leung (0000-0002-2503-6283, University of San Francisco), Jane Jih (0000-0001-9367-7376, Asian American Research Center on Health) |
| Year | 2023 |
| Volume | 38 |
| Issue | 11 |
| Pages | 2387-2398 |
| Publication date | 2023-09-19 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Health Communication (JOURNAL) |
| Journal identifiers | ISSN: 1041-0236 • E-ISSN: 1532-7027 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/10410236.2022.2071390 |
| PMID | 35642446 |
| OpenAlex | W4281812724 |
| Language | EN |
| References cited | 20 |
Addressing patient-clinician communication barriers to improve multiple chronic disease care is a public health priority. While significant research exists about the patient-clinician encounter, less is known about how to support patient-clinician communication about lifestyle changes that includes the context of people's lives. Data come from a larger photo-based primary care study collected from 13 participants who were adults 60 or older with at least two chronic conditions, in English, Chinese (Cantonese or Mandarin), or Spanish. We use discourse analysis of three examples as anchor points demonstrating different interactional pathways for the photo-based communication. Patients and clinicians can move smoothly through a pathway in which photos are shared, clinicians acknowledge and align with the patient's explanation, and clinicians frame their medical evaluations of food choices, nutrition suggestions, and shared goal-setting by invoking the voice of lifeworld (VOL). On the other hand, when clinicians solely press the voice of medicine (VOM) in their evaluations of patients' pictures with little attention to patients' presentations, it can lead to patient resistance and difficulty moving to the next activity. Because photo-sharing is still relatively novel, it offers unique interactional spaces for both clinicians and patients. Photo-sharing offers a sanctioned moment for a primary care visit to operate in the VOL and promote goal-setting that both parties can agree upon, even if clinicians and patients framed the activity as one in which patients' lifeworld choices should be assessed as medically healthy or unhealthy based on the ultimate judgment of clinicians operating from the VOM
Family medicine · Health care · Lifeworld · Medical education · Patient participation · Primary care · Sociology · Empathy and Medical Education · Medicine · Nursing · Participatory Visual Research Methods · Patient-Provider Communication in Healthcare · Psychology
Discourse Markers
Handbook of Discourse Analysis
Does a picture tell a thousand words? The uses of digitally produced, multimodal pictures for communicating information about Alzheimer’s disease
Photovoice
Comorbidity Measures for Use with Administrative Data
The conditional legitimacy of behavior change advice in primary care
Patient resistance as agency in treatment decisions
Cultural brokerage
Patient resistance as a resource
| Citation velocity | historical |
|---|---|
| Highly cited | No |