Patient participation and learning in medical consultations about congenital heart defects.

ABSTRACT: In this article, patient activity in 8 audio recorded specialist consultations on fetal cardiology is investigated in order to explore how, why and when patients tend to participate in encounters in which the doctor dominates the interaction. The overall question is: How can the participation of patients in the consultations be connected to the development of higher levels of health literacy, i.e. to interactive literacy and to critical literacy? Patient participation is here understood as interactive action and is analyzed in terms of different interactive moves, which are related to different recurring topics. Despite the highly standardized format of the consultations, there is a large variation between the patients' participation: between 0.7 and 2.8 moves per minute. The patients part

SUBMITTER: Bellander T 

PROVIDER: S-EPMC6655745 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature