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首页> 外文期刊>Sociology of health & illness >The power of suggestion: examining the impact of presence or absence of shared first language in the antenatal clinic
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The power of suggestion: examining the impact of presence or absence of shared first language in the antenatal clinic

机译：建议的力量：检查在产前诊所的存在或不存在共同的第一语言的影响

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Abstract Healthcare encounters involving participants from diverse linguistic backgrounds are becoming more common due to the globalisation of health care and increasing migration levels. Research suggests that this diversity has a significant impact on health outcomes; however less is known about how it is managed in the actual consultation process. This article presents an analysis of antenatal screening consultations video recorded in Hong Kong, using conversation analysis. We consider how the use of a second or subsequent language impacts on these consultations, and on discussions and decisions about further action. The presence or absence of shared first language did not appear to affect the extent to which particular courses of action were promoted or recommended. Recommendations were a common occurrence across consultations with and without shared first language. However, we argue that the routine use of recommendations can be consequential, as second language speakers may have more limited resources to interrogate or contest these. This finding has implications for the ability for professionals to maximise patient involvement in decision‐making.
机译：涉及不同语言背景的参与者的抽象医疗保健遭遇，由于保健和增加移民水平的全球化，越来越普遍。研究表明，这种多样性对健康结果产生了重大影响;然而，较少是如何在实际咨询过程中管理的。本文介绍了使用对话分析记录在香港的天空筛查咨询视频的分析。我们考虑如何利用第二种或后续语言对这些磋商以及关于进一步行动的讨论和决定的影响。共享第一语言的存在与否似乎没有影响促进或建议采取特定行动课程的程度。建议是在与其共享第一语言的磋商中的常见发生。但是，我们认为，由于第二语言扬声器可能具有更多的资源来询问或竞争这些建议，因此旨在使建议的常规使用。这一发现对专业人员最大限度地提高患者参与决策的能力有影响。

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