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This book presents a comprehensive analysis of the use of patient-/person-centred communication in providing healthcare for ageing populations through an ethnographic approach to physician in-home medical consultations in Tokyo, Japan, alongside interviews with physicians. It focuses on illustrating how linguistic dimensions of person-centred communication work by citing examples of case studies, as well as the sociocultural differences between the US, the UK, Japan and other societies in which person-centred communication models are employed. The author uses her own framework, which takes into account face and politeness theory, and makes recommendations for future training.
Kayo Kondo is an Assistant Lecturer in Japanese Studies at the School of Modern Languages and Cultures, Durham University, UK. Her research interests include patient-health provider communication, clinical empathy, dementia communication, discourse studies in health and social care, pragmatics, face and politeness theories.
Figures and TablesAcknowledgmentsAcronymsIntroductionScope of the BookChapter 1. Introduction to Patient-centred Communication Chapter 2. Face and Linguistic Politeness Chapter 3. Fieldwork and Data Chapter 4. Listening to Patients and Identifying Issues Chapter 5. Empathy and Acceptance Chapter 6. Work Towards Shared Decision-making Chapter 7. Leave Space for the Patient and Respecting the Patient’s Freedom Chapter 8. Transferring into Future Training Chapter 9. Appendices ReferencesIndex
In an era of increased digitalisation and performance targets, this book directs us back to the quintessential site of healthcare delivery, namely interpersonal contact between doctors, patients and family members. Through fine-grained analyses of clinical encounters involving older patients, Kondo beautifully illustrates the delicate interactional labour involved in compassionate, patient-centred communication and care.