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‘I Have to Explain to him’: How Companions Broker Mutual Understanding Between Patients with Intellectual Disabilities and Health Care Practitioners in Primary Care

Research output: Contribution to journalArticlepeer-review

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‘I Have to Explain to him’ : How Companions Broker Mutual Understanding Between Patients with Intellectual Disabilities and Health Care Practitioners in Primary Care. / Chinn, Deborah.

In: Qualitative Health Research, Vol. 32, No. 8-9, 07.2022, p. 1215-1229.

Research output: Contribution to journalArticlepeer-review

Harvard

Chinn, D 2022, '‘I Have to Explain to him’: How Companions Broker Mutual Understanding Between Patients with Intellectual Disabilities and Health Care Practitioners in Primary Care', Qualitative Health Research, vol. 32, no. 8-9, pp. 1215-1229. https://doi.org/10.1177/10497323221089875

APA

Chinn, D. (2022). ‘I Have to Explain to him’: How Companions Broker Mutual Understanding Between Patients with Intellectual Disabilities and Health Care Practitioners in Primary Care. Qualitative Health Research, 32(8-9), 1215-1229. https://doi.org/10.1177/10497323221089875

Vancouver

Chinn D. ‘I Have to Explain to him’: How Companions Broker Mutual Understanding Between Patients with Intellectual Disabilities and Health Care Practitioners in Primary Care. Qualitative Health Research. 2022 Jul;32(8-9):1215-1229. https://doi.org/10.1177/10497323221089875

Author

Chinn, Deborah. / ‘I Have to Explain to him’ : How Companions Broker Mutual Understanding Between Patients with Intellectual Disabilities and Health Care Practitioners in Primary Care. In: Qualitative Health Research. 2022 ; Vol. 32, No. 8-9. pp. 1215-1229.

Bibtex Download

@article{461bf1fe2c3c4df8b79b7fc4024b9ca5,
title = "{\textquoteleft}I Have to Explain to him{\textquoteright}: How Companions Broker Mutual Understanding Between Patients with Intellectual Disabilities and Health Care Practitioners in Primary Care",
abstract = "People with intellectual disabilities (ID) experience marked health inequalities. This is attributable, at least in part, to suboptimal healthcare communication with health care practitioners (HCPs) whereby patients with ID and HCPs struggle to understand each other. Companions who attend healthcare appointments with patients with ID can support the communicative exchange between patient and HCP, but their involvement can have unintended consequences. This article uses Conversation Analysis (CA) to analyse video-recorded data from primary care health checks involving 24 patients with ID. This method shows that companions use their linguistic and experiential resources to intervene as {\textquoteleft}brokers{\textquoteright} to address real or potential threats to mutual understanding between patients with ID and HCPs. Their interventions can fill in the gaps in knowledge and understanding of the other parties, but also run the risk of deskilling the others in the interaction, by relieving them of the obligation to address communication breakdown directly themselves.",
keywords = "conversation analysis, doctor-patient communication, intellectual disabilities, primary health care",
author = "Deborah Chinn",
note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Research Trainees Coordinating Centre (PDF-2013-06-060). Publisher Copyright: {\textcopyright} The Author(s) 2022.",
year = "2022",
month = jul,
doi = "10.1177/10497323221089875",
language = "English",
volume = "32",
pages = "1215--1229",
journal = "Qualitative Health Research",
issn = "1049-7323",
publisher = "SAGE Publications Inc.",
number = "8-9",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - ‘I Have to Explain to him’

T2 - How Companions Broker Mutual Understanding Between Patients with Intellectual Disabilities and Health Care Practitioners in Primary Care

AU - Chinn, Deborah

N1 - Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Research Trainees Coordinating Centre (PDF-2013-06-060). Publisher Copyright: © The Author(s) 2022.

PY - 2022/7

Y1 - 2022/7

N2 - People with intellectual disabilities (ID) experience marked health inequalities. This is attributable, at least in part, to suboptimal healthcare communication with health care practitioners (HCPs) whereby patients with ID and HCPs struggle to understand each other. Companions who attend healthcare appointments with patients with ID can support the communicative exchange between patient and HCP, but their involvement can have unintended consequences. This article uses Conversation Analysis (CA) to analyse video-recorded data from primary care health checks involving 24 patients with ID. This method shows that companions use their linguistic and experiential resources to intervene as ‘brokers’ to address real or potential threats to mutual understanding between patients with ID and HCPs. Their interventions can fill in the gaps in knowledge and understanding of the other parties, but also run the risk of deskilling the others in the interaction, by relieving them of the obligation to address communication breakdown directly themselves.

AB - People with intellectual disabilities (ID) experience marked health inequalities. This is attributable, at least in part, to suboptimal healthcare communication with health care practitioners (HCPs) whereby patients with ID and HCPs struggle to understand each other. Companions who attend healthcare appointments with patients with ID can support the communicative exchange between patient and HCP, but their involvement can have unintended consequences. This article uses Conversation Analysis (CA) to analyse video-recorded data from primary care health checks involving 24 patients with ID. This method shows that companions use their linguistic and experiential resources to intervene as ‘brokers’ to address real or potential threats to mutual understanding between patients with ID and HCPs. Their interventions can fill in the gaps in knowledge and understanding of the other parties, but also run the risk of deskilling the others in the interaction, by relieving them of the obligation to address communication breakdown directly themselves.

KW - conversation analysis

KW - doctor-patient communication

KW - intellectual disabilities

KW - primary health care

UR - http://www.scopus.com/inward/record.url?scp=85128529523&partnerID=8YFLogxK

U2 - 10.1177/10497323221089875

DO - 10.1177/10497323221089875

M3 - Article

AN - SCOPUS:85128529523

VL - 32

SP - 1215

EP - 1229

JO - Qualitative Health Research

JF - Qualitative Health Research

SN - 1049-7323

IS - 8-9

ER -

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