Abstract
Newer methods of communication have largely contributed to the transformations of contemporary health service delivery. Interactive online health resources, which have profoundly affected the way in which healthcare is delivered, and with this, have brought changes in the relationship between doctor and patient. In this study, we try to find out what the characteristics of electronic doctor-patient health communication are and how we can identify features of electronic doctor’s advice that increase patient’s confidence and understanding. By using online medical counseling discourse analysis to find out how patients talk about health-related topics and how doctors response them we describe adaptive discursive models the doctors use to provide them with information the patients can trust.
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The typical example of an electronic doctor-patient health communication looks as following:
Question. I've had a bad cold for several days, so I began drinking orange juice on Saturday. By Saturday night, my arms and hand were itching really bad. I took 2 Benadryl so I could sleep. I had a raspberry freezer pop for my throat as well. Sunday morning, I was still itching. I thought it was the raspberry freezer pop, so took more Benadryl. Long story short, I just realized that the only thing I've been eating or drinking since the itching began has been orange juice. I stopped the orange juice last night around 6 pm. Today, my hands arms and shoulders are still itching but it's not as bad. Before my legs and feet were itchy. Today my body still feels like my skin is crawling. Did I have an allergic reaction to orange juice and what should I do to make this stop? Do I continue with Benadryl? I'm at work and Benadryl makes me drowsy. How long does this last? Please help! Answer. Thank you for asking your query at DoctorSpring. Yes, this itching which you are experiencing can be a part of the allergic reaction to some of the ingredients in the orange juice. Since you have this history of allergy to food items and seasonal allergies it is quite possible that this is an allergic reaction. Orange juice can contain slight amount of salicylates (naturally). This component may be the culprit here. It is a good thing that you have stopped the orange juice consumption. I recommend you to take a balanced nutritious meal, which is allergy-safe from your experience. Go for the safes, non-allergic food as per you experience. Just take Benadryl for 1 more day (since when you stopped the orange juice). You can stop it and see how your body responds. If the itching still persists for more than 48 h, we need to look into other possible allergens. You may want to visit a Doctor too, in person. Hope this helps.
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There is an example of pain related dialog:
Question. I have pain under my lower left rib cage und back. I have had these symptoms for nearly a year and have recently had my gallstone removed, but the symptoms persist. The pain seems to peak in the early hours of the morning and wakes me up. Answer. Hello, Thank you for asking your query. Form your question I understand that you are having a rather troubling pain in the lower left rib cage und back. There are many possibilities for this pain but the ones I would like to consider are the following: 1. Musculoskeletal pain at ribs and intercostal muscles; 2. Lung/Pleural irritation; 3. Diaphragmatic irritation; 4. A splenic involvement; 5. Peptic Ulcer; 6. A pancreatic involvement; 7. A spine problem, with pain radiating. Now there is no need for any alarm. The way we go about finding the cause is a step by step approach and to rule out most common and not to miss causes. For that you will need to get few tests done with the help of your Physician. This will be a Chest Xray, Xray of spine AP and later, a Ultrasound of Abdomen, Complete Cholesterol study, S. Amilase, S. Lipase. This will rule out many possibilities and if needed further tests can be done. I am sure you many options for pain relief. Now I would recommend you to use an anti Ulcer drug (Pantoprazol/Omeprazol) in consultation with your Physician. This has to be taken just before sleep. If the pain has an ulcer component in it, this will help. Hope this helps. Please feel free to ask any follow-up questions.
References
Alekseeva, L.M., Mishlanova, S.L.: Medical discourse: theory and analyzing principles. Perm University Press, Perm (2002). (in Russian)
Barsalou, L.W.: Situated simulation in the human conceptual system. Lang. Cogn. Process. 18, 513–562 (2003)
Belousov, K.I., Mishlanova, S.L., Zassedateleva, M.G.: Thesaurus modeling of the subject area «Competence-based approach»: research design and program realization on the IS «Semograph» base. Innovative Projects Programs Educ. 4, 3–11 (2013). (in Russian)
Bigi, S.: Analyzing doctor-patient communication: methodological issues. Bull. suisse de linguistique appliquée 2, 133–145 (2010)
Bigi, S.: Evaluating argumentative moves in medical consultations. J. Argumentation Context 1(1), 51–65 (2012)
Boldyrev, N.N.: Knowledge representation in language system. Issues Cogn. Linguist. 4, 17–27 (2007). (in Russian)
Brédart, A., Bouleuc, C., Dolbeault, S.: Doctor-patient communication and satisfaction with care in oncology. Curr. Opin. Oncol. 17(14), 351–354 (2005)
Burt, J., Abel, G., Elmore, N., et al.: Assessing communication quality of consultations in primary care: initial reliability of the global consultation rating scale, based on the Calgary-Cambridge Guide to the medical interview. BMJ Open 4, e004339 (2014). doi:10.1136/bmjopen-2013-004339
Calgary-Cambridge guides communication process skills (2013). http://communication4integration.ca/wp-content/uploads/2013/05/CambridgeGuideHandout_Numbered_C4Iweb.pdf. Accessed 15 Nov 2015
Daud, A., Li, J., Zhou, L., Muhammad, F.: Knowledge discovery through directed probabilistic topic models: a survey. In: Proceedings of Frontiers of Computer Science in China, pp. 280–301 (2010)
van Dijk, T.A.: Discourse and Knowledge: A Sociocognitive Approach. Cambridge University Press, Cambridge (2014)
Ehlig, K.: The language of pain. Theoret. Med. 6, 177–187 (1985)
Fiehler, R.: Erleben und Emotionalitä als Problem der Arzt-Patienten-Interaktion. In: Ehlich, K. (Hrsg.). Medizinische und therapeutische Kommunikation. Diskursanalytische Untersuchungen, pp. 41–45. Westdeutscher Verl, Opladen (1990)
Gagarina, E.Y.: Communicative behavior of virtual doctor’s personality in medical internet-forum. Ph.D. thesis, Astrakhan (2015). (in Russian)
Geyer, M.: Das äztliche Gespräch. Allgemein-psychotherapeutische Strategien und Techniken. Volk und Gesundheit, Berlin, Verl (1985)
Golovanova, E.I.: Introduction to Cognitive Terminology. Encyclopedia, Tchelyabinsk (2008). (in Russian)
Ha, J.F., Longnecker, N.: Doctor-patient communication: a review. Ochsner J. 10, 38–43 (2010)
Hagihara, A., Tarumi, K.: Doctor and patient perceptions of the level of doctor explanation and quality of patient-doctor communication. Scand. J. Caring Sci. 20(2), 143–150 (2006)
Harvey, K., Koteyko, N.: Exploring Health Communication: Language in Action. Routledge, NY (2013)
Kurtz, S.M., Silverman, J.D.: The Calgary-Cambridge referenced observation guides: an aid to defining the curriculum and organising teaching in communication training programmes. Med. Educ. 30, 83–89 (1996)
Kurtz, S., Silverman, J., Draper, J.: Teaching and learning communication skills in medicine, 2nd edn. Radcliffe Medical, Oxford, San Francisco (2005)
Lee, R.G., Garvin, T.: Moving from information transfer to information exchange in health and health care. Soc. Sci. Med. 56(3), 449–464 (2003)
Little, P., Everitt, H., Williamson, I., et al.: Observational study of effect of patient centredness and positive approach on outcomes of general practice consultations. BMJ 323(7318), 908–911 (2001)
Maguire, P., Pitceathly, C.: Key communication skills and how to acquire them. BMJ 325(7366), 697–700 (2002)
Makoul, G.: The interplay between education and research about patient-provider communication. Patient Educ. Couns. 50, 79–84 (2003)
Mishlanova, S.L.: Metaphor in Medical Discourse. Perm University Press, Perm (2002). (in Russian)
Novodranova, V.F.: Cognitive analysis methods in LSP studies. Terminology Knowl. 3, 11–19 (2013). (in Russian)
Parrott, R.: Emphasizing “communication” in health communication. J. Commun. 54, 751–787 (2004)
Pleasant, A., Cabe, J., Patel, K., Cosenza, J., Carmona, R.: Health literacy research and practice: a needed paradigm shift. Health Commun. 15(12), 1176–1180 (2015)
Rimal, R.N., Lapinski, M.K.: Why health communication is important in public health. Bull. World Health Organ. 87, 247 (2009)
Roter, D.L.: Physician/patient communication: transmission of information and patient effects. Md State Med. J. 32(4), 260–265 (1983)
Sheremetyeva, S.O., Osminin, P.G.: On methods and models of keyword automatic extraction. Bull. South Ural State Univ.: Ser. Linguist. 12(1), 76–81 (2015). (in Russian)
Silverman, J., Kurtz, S., Draper, J.: Skills for Communicating with Patients, 3rd edn. Radcliffe, Oxford (2013)
Spranz-Fogasy, T.: Äztliche Kommunikation – Transfer diskursanalytischen Wissens in die Praxis In: Ehlich, K. (Hrsg.) Medizinische und therapeutische Kommunikation. Diskursanalytische Untersuchungen, pp. 143–55. Westdeutscher Verl, Opladen (1990)
Stewart, M.A.: Effective physician-patient communication and health outcomes: a review. CMAJ 152(9), 1423–1433 (1995)
Thistlethwaite, J., Spencer, J.: Professionalism in Medicine. Radcliffe, Oxford (2008)
Thompson, T., Robinson, J., Anderson, D., Fedorovicz, M.: Health Communication: Where We Been and Where Can We Go? Applied Health Communication. Hampton Press Inc., Cresskill (2008)
Tongue, J.R., Epps, H.R., Forese, L.L.: Communication skills for patient-centered care: research-based, easily learned techniques for medical interviews that benefit orthopaedic surgeons and their patients. J. Bone Joint Surg. Am. 87, 652–658 (2005)
Weinhold, C.: Kommunikation in Krankenhäsern. Ein Forschungsbericht über deutschsprachige Analysen der Gespräche zwischen Arzt und Patient und das Gesprächsverhalten des Pflegepersonals. Zs. f. Germanistik 3, 674–684 (1991)
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The research is funded by the Russian Foundation for Humanities (RFH) (projects № 16-13-59006 and № 16-16-59009).
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Mishlanova, S., Bogatikova, E., Mishlanov, Y. (2016). Adaptive Knowledge Representation in Online Health Communication. In: Chugunov, A., Bolgov, R., Kabanov, Y., Kampis, G., Wimmer, M. (eds) Digital Transformation and Global Society. DTGS 2016. Communications in Computer and Information Science, vol 674. Springer, Cham. https://doi.org/10.1007/978-3-319-49700-6_55
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