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Keeping the gate ajar during openings of general practice consultations1

机译:在全科医学咨询开放期间保持大门半开1

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摘要

A deferral of stance during the openings of general practice consultations is discussed in this paper as a possible systematic and important device for accomplishing gate keeping. The paper draws upon video recordings of naturally occurring consultations in Denmark. It is found that doctors defer their explicit stances when patients engage in a visit by requesting a specific clinical service (a prescription, a further test, a referral or a sick note etc). Instead of assuming a stance, doctors begin to ask the patients a series of questions, whilst withholding their 'yes' or 'no' throughout relatively long periods of time.
机译:本文讨论了在全科医学咨询会开幕式上的延缓立场,这是完成门禁的一种可能的系统性和重要手段。本文借鉴了丹麦自然磋商会的录像。结果发现,当患者进行拜访时,医生会通过请求特定的临床服务(处方,进一步的检查,转诊或病假等)来拒绝他们明确的立场。医生没有采取立场,而是开始向患者提出一系列问题,同时在相当长的一段时间内拒绝他们的“是”或“否”。

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