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Chapter 16. How uncertainty can be turned into shared understanding

Evidence from online medical consultations in Taiwan
  • Ming-Yu Tseng and Grace Zhang
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A Pragmatic Agenda for Healthcare
This chapter is in the book A Pragmatic Agenda for Healthcare

Abstract

This chapter investigates how uncertainty is communicated in highly-rated medical answers. Particular attention is paid to the discourse elements that may render the use of vague language to be more positively than negatively received during the delivery of helpful answers to health information seekers in online medical consultations (OMCs). We argue that uncertainty does not equate to an evasive answer; instead, uncertainty can be turned into shared understanding with the use of effective strategies. Data in Chinese were collected from a government-funded website based in Taiwan. The findings suggest that vague language can facilitate the successful delivery of health information when it is used in conjunction with higher-order stretching of a medical reply, aimed at offering a patient-centered medical answer.

Abstract

This chapter investigates how uncertainty is communicated in highly-rated medical answers. Particular attention is paid to the discourse elements that may render the use of vague language to be more positively than negatively received during the delivery of helpful answers to health information seekers in online medical consultations (OMCs). We argue that uncertainty does not equate to an evasive answer; instead, uncertainty can be turned into shared understanding with the use of effective strategies. Data in Chinese were collected from a government-funded website based in Taiwan. The findings suggest that vague language can facilitate the successful delivery of health information when it is used in conjunction with higher-order stretching of a medical reply, aimed at offering a patient-centered medical answer.

Chapters in this book

  1. Prelim pages i
  2. Table of contents v
  3. Introduction. Fostering interdisciplinary knowledge translation at the interface between healthcare communication and pragmatics 1
  4. Section 1. Analytical approaches to health communication
  5. Chapter 1. Methodological insights for the study of communication in health 16
  6. Chapter 2. Microanalysis of Clinical Interaction (MCI) 43
  7. Chapter 3. Public disagreements among health experts and their polarizing effects during a pandemic health crisis 75
  8. Section 2. Intercultural and mediated communication
  9. Chapter 4. Face-to-face intercultural communication and mediated intercultural communication as related to health communication 106
  10. Chapter 5. On managing dyadic sequences in triadic clinician-patient-interpreter interaction 124
  11. Chapter 6. Pursuing understanding or engaging the patient? 144
  12. Section 3. Negotiation and meaning construction
  13. Chapter 7. Negotiation and joint construction of meaning (or why health providers need philosophy of communication) 172
  14. Chapter 8. Metapragmatics and reflections in support of knowledge transfer and common ground in doctor-patient interaction 200
  15. Chapter 9. The pediatrician’s normalizing practice in well-child visits 227
  16. Section 4. Expertise and common ground
  17. Chapter 10. Establishing common ground to achieve therapeutic goals 252
  18. Chapter 11. Whose common ground? 263
  19. Chapter 12. Peer experts as actors for shared understanding in Spanish online health fora 291
  20. Section 5. Uncertainty and evasive answers
  21. Chapter 13. Uncertainty in healthcare 314
  22. Chapter 14. The pragmatics of diagnostic uncertainty 330
  23. Chapter 15. On indicating and dealing with uncertainty in healthcare dialogues 359
  24. Chapter 16. How uncertainty can be turned into shared understanding 373
  25. Index 395
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