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Problem Presentation in Accompanied Medical Consultations: Patterns for Multi-Person Participation.

Zi Yang1, Weihua Wu1, Xueming Wang2

  • 1School of Foreign Studies, University of Science and Technology Beijing.

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|October 20, 2025
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Summary
This summary is machine-generated.

In doctor-patient interactions with companions, patients describe problems while companions recount illness history. This difference in communication, influenced by knowledge sharing (epistemics), impacts consultation efficiency.

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Area of Science:

  • Medical Communication
  • Conversation Analysis
  • Sociolinguistics

Background:

  • Doctor-patient interactions are complex when companions participate.
  • Understanding communication dynamics is crucial for effective healthcare.

Purpose of the Study:

  • To examine differences in how patients and companions present problems during medical consultations.
  • To analyze the role of epistemics in shaping these presentation styles.

Main Methods:

  • Conversation-analytic approach applied to audio/video recordings of medical consultations in China.
  • Analysis of naturally occurring interactions focusing on primary-concern presentations.
  • Examination of action formation in both common and deviant cases, considering sequential position and participation type.

Main Results:

  • Patients tend to describe the medical problem directly.
  • Companions are more likely to recount the illness history rather than the problem itself.
  • These distinct practices are observed regardless of sequential position or participation type, with epistemics playing a key role.

Conclusions:

  • Companion presence complicates interaction sequencing.
  • Distinct patient and companion problem presentation styles exist, influenced by epistemics.
  • Findings can improve accompanied medical consultation efficiency and understanding of multi-person interactions.