Title

Patient participation within a globalised patient population : interactional difficulties in a prenatal counseling context in Hong Kong

Document Type

Journal article

Source Publication

Journal of Asian Pacific Communication

Publication Date

1-1-2010

Volume

20

Issue

2

First Page

169

Last Page

184

Keywords

interactional difficulties; non-native English; patient knowledge display; prenatal genetic counseling

Abstract

Data from multicultural contexts add more complexity to many findings regarding healthcare practices that have been reported in the literature. For example, patient participation has been reported to contribute to the enhancement of healthcare results (e.g. Candlin, 2006; Thompson, 2008). However, patient participation may be problematic when participants in the medical encounter face sociocultural and linguistic barriers. In this paper we focus on interactional difficulties that non-native speakers of English encounter in prenatal genetic counseling sessions. These difficulties, we argue, may place limitations on the extent of patient participation, when patient participation is narrowly defined in terms of verbal contributions. The data for the study come from a prenatal genetic counseling clinic in Hong Kong, and the participants of the interactions originate from various countries in the Asia region. Using a conversation analytic approach, we examine interactional difficulties in an attempt to capture the specific challenges faced by healthcare providers and patients in an increasingly diverse healthcare context. We also argue for an ethnographic perspective to examine patient participation in the multilingual context and to highlight dimensions of second language use and cultural diversities as observable evidence of patient participation.

DOI

10.1075/japc.20.2.01kan

Print ISSN

09576851

E-ISSN

15699838

Publisher Statement

Copyright © 2010 John Benjamins.

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Full-text Version

Publisher’s Version

Recommended Citation

Kang, M. A., & Zayts, O. (2010). Patient participation within a globalised patient population: Interactional difficulties in a prenatal counseling context in Hong Kong. Journal of Asian Pacific Communication, 20(2), 169-184. doi: 10.1075/japc.20.2.01kan