Volume 2, Issue 2
  • ISSN 2542-9477
  • E-ISSN: 2542-9485
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Much of the corpus-based research on medical discourse has focused on “involved” language (e.g., 1st person pronouns, discourse markers) and its importance in creating patient rapport (Adolphs, Brown, Carter, Crawford, & Sahota, 2004Skelton & Hobbes, 1999Staples, 2016). However, in the broader literature on health care interactions, providers’ information provision is equally important in patient-centered care (Ong, de Haes, Joos, & Lammes, 1995). This paper investigates the ways in which providers and patients use informational language in medical discourse using multidimensional analysis (MDA; Biber, 1988). We first examine three corpora of medical interactions and then focus a new MDA on one type of interaction that requires more informational language use: discussions of disease and treatment options. The analysis revealed multifaceted aspects of information provision that differ depending on the nature of the information, including providers’ procedural information for medical treatment and impersonal information provision for explaining the disease.


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  1. Adolphs, S. , Brown, B. , Carter, R. , Crawford, P. , & Sahota, O.
    (2004) Applying corpus linguistics in a health care context. Journal of Applied Linguistics, 1, 9–28. doi:  10.1558/japl.v1i1.9
    https://doi.org/10.1558/japl.v1i1.9 [Google Scholar]
  2. Brookes, G. , & Baker, P.
    (2017) What does patient feedback reveal about the NHS? A mixed methods study of comments posted to the NHS Choices online service. BMJ Open, 7, e013821. 10.1136/bmjopen‑2016‑013821
    https://doi.org/10.1136/bmjopen-2016-013821 [Google Scholar]
  3. Biber, D.
    (1988) Variation across speech and writing. Cambridge: Cambridge University Press. 10.1017/CBO9780511621024
    https://doi.org/10.1017/CBO9780511621024 [Google Scholar]
  4. (1994) An analytical framework for register studies. In D. Biber & E. Finegan (Eds.) Sociolinguistic perspectives on register (pp.31–56). New York: Oxford University Press.
    [Google Scholar]
  5. (2006) University language: A corpus-based study of spoken and written registers. Amsterdam: John Benjamins. 10.1075/scl.23
    https://doi.org/10.1075/scl.23 [Google Scholar]
  6. (2008) Corpus-based analyses of discourse: Dimensions of variation in conversation. In V. K. Bhatia , J. Flowerdew , and R. Jones (Eds.), Advances in discourse studies (pp.100–114). London: Routledge.
    [Google Scholar]
  7. Biber, D. , & Conrad, S.
    (2009) Register, genre, and style. Cambridge: Cambridge University Press. 10.1017/CBO9780511814358
    https://doi.org/10.1017/CBO9780511814358 [Google Scholar]
  8. Biber, D. , Conrad, S. , Reppen, R. , Byrd, P. , & Helt, M.
    (2002) Speaking and writing in the university: A multidimensional comparison. TESOL Quarterly, 36, 9–48. 10.2307/3588359
    https://doi.org/10.2307/3588359 [Google Scholar]
  9. Biber, D. , Gray, B. , & Staples, S.
    (2016) Predicting patterns of grammatical complexity across textual task types and proficiency levels. Applied Linguistics, 37(5), 639–668. 10.1093/applin/amu059
    https://doi.org/10.1093/applin/amu059 [Google Scholar]
  10. Biber, D. , Johansson, S. , Leech, G. , Conrad, S. , & Finegan, E.
    (1999) The Longman grammar of spoken and written English. London: Longman.
    [Google Scholar]
  11. Cavaco, A. , & Roter, D.
    (2010) Pharmaceutical consultations in community pharmacies: Utility of the Roter Interaction Analysis System to study pharmacist-patient communication. International Journal of Pharmacy Practice, 18, 141–148. doi: 10.1211/ijpp/10.03/0003
    https://doi.org/10.1211/ijpp/10.03/0003 [Google Scholar]
  12. Epstein, R. M. , Franks, P. , Fiscella, K. , Shields, C. G. , Meldrum, S. C. , Kravitz, R. L. , & Duberstein, P. R.
    (2005) Measuring patient-centered communication in patient-physician consultations: Theoretical and practical issues. Social Science & Medicine, 61, 1516–1528. doi: 10.1016/j.sociscimed.2005.02.001
    https://doi.org/10.1016/j.sociscimed.2005.02.001 [Google Scholar]
  13. Egbert, J. , & Staples, S.
    (2019) Doing multi-dimensional analysis in SPSS, SAS and R.In T. Berber-Sardinha & M. Veirano (Eds.), Multi-dimensional analysis: Research methods and current issues. London: Bloomsbury. 10.5040/9781350023857.0015
    https://doi.org/10.5040/9781350023857.0015 [Google Scholar]
  14. Ferguson, G.
    (2001) If you pop over there: a corpus-based study of conditionals in medical discourse. English for Specific Purposes, 20, 61–82. 10.1016/S0889‑4906(99)00027‑7
    https://doi.org/10.1016/S0889-4906(99)00027-7 [Google Scholar]
  15. Friginal, E.
    (2009) The language of outsourced call centers: A corpus-based study of cross- cultural interaction. Philadelphia: John Benjamins. 10.1075/scl.34
    https://doi.org/10.1075/scl.34 [Google Scholar]
  16. Gordon, H. S. , Street, R. L. , Sharf, B. F. , & Souchek, J.
    (2006) Racial differences in doctors’ information-giving and patients’ participation. Cancer, 107, 1313–1320. doi:  10.1002/cncr.22122
    https://doi.org/10.1002/cncr.22122 [Google Scholar]
  17. Gray, B.
    (2015) Linguistic variation in research articles: When discipline tells only part of the story. Philadelphia: John Benjamins. 10.1075/scl.71
    https://doi.org/10.1075/scl.71 [Google Scholar]
  18. Harvey, K.
    (2013) Investigating adolescent health communication: A corpus linguistics approach. London: Bloomsbury.
    [Google Scholar]
  19. Holmes, J. , & Major, G.
    (2002) Nurses communicating on the ward: the human face of hospitals. Kai Tiaki, Nursing New Zealand, 8(11), 4–16.
    [Google Scholar]
  20. (2003) Talking to patients: The complexity of communication on the ward. Vision: A Journal of Nursing, 11, 4–9.
    [Google Scholar]
  21. Hymes, D.
    (1974) Foundations of sociolinguistics: An ethnographic approach. Philadelphia: University of Pennsylvania Press.
    [Google Scholar]
  22. Malthus, D. , Holmes, J. and Major, G.
    (2005) Completing the circle: research based classroom practice with EAL nursing students. New Zealand Studies in Applied Linguistics, 11(1), 65–89.
    [Google Scholar]
  23. Matsuyama, R. K. , Kuhn, L. A. , Molisani, A. , & Wilson-Genderson, M. C.
    (2013) Cancer patients’ information needs the first nine months after diagnosis. Patient Education & Counseling, 90, 96–102. doi:  10.1016/j.pec.2012.09.009
    https://doi.org/10.1016/j.pec.2012.09.009 [Google Scholar]
  24. Mazor, K. M. , Beard, R. L. , Alexander, G. L. , Arora, N. K. , Firneno, C. , Gaglio, B. , Greene, S. M. , Lemay, C. A. , Robinson, B. E. , Roblin, D. W. , Walsh, K. , Street, R. L. , Gallagher, T. H.
    (2013) Patients’ and family members’ views on patient-centered communication during cancer care. Psycho-Oncology, 22, 2487–2495. doi:  10.1002/pon.3317
    https://doi.org/10.1002/pon.3317 [Google Scholar]
  25. Ong, L. M. L. , de Haes, J. C. J .M. , Hoos, A. M. , & Lammes, F. B.
    (1995) Doctor-patient communication: A review of the literature. Social Science & Medicine, 7, 903–918. 10.1016/0277‑9536(94)00155‑M
    https://doi.org/10.1016/0277-9536(94)00155-M [Google Scholar]
  26. R Core Team
    R Core Team (2016) R: A language and environment for statistical computing [Computer software].
    [Google Scholar]
  27. Skelton, J. R. , & Hobbs, F. D. R.
    (1999a) Concordancing: use of language-based research in medical communication. The Lancet, 353, 108–11. 10.1016/S0140‑6736(98)02469‑6
    https://doi.org/10.1016/S0140-6736(98)02469-6 [Google Scholar]
  28. Skelton, J. R. & Hobbs, F. D. R.
    (1999b) Descriptive study of cooperative language in primary care consultations by male and female doctors. British Medical Journal, 318, 576–9. 10.1136/bmj.318.7183.576
    https://doi.org/10.1136/bmj.318.7183.576 [Google Scholar]
  29. Skelton, J. R. , Wearn, A. M. , & Hobbs, F. D. R.
    (2002) A concordance-based study of metaphoric expressions used by general practitioners and patients in consultation. British Journal of General Practice52(475), 114–8.
    [Google Scholar]
  30. Skelton, J. R. , Murray, J. , & Hobbs, F. D. R.
    (1999) Imprecision in medical communication: study of a doctor talking to patients with serious illness. Journal of the Royal Society of Medicine, 92, 620–625. 10.1177/014107689909201204
    https://doi.org/10.1177/014107689909201204 [Google Scholar]
  31. Staples, S.
    (2015) The discourse of nurse-patient interactions: Contrasting the communicative styles of U.S. and international nurses. Philadelphia: John Benjamins. 10.1075/scl.72
    https://doi.org/10.1075/scl.72 [Google Scholar]
  32. (2016) Identifying linguistic features of medical interactions: A register analysis. In Pickering, L. , Friginal, E. , & Staples, S. (eds.) Talking at work: Corpus-based explorations of workplace discourse (pp.179–208). Houndsmills, UK: Palgrave-Macmillon. 10.1057/978‑1‑137‑49616‑4_8
    https://doi.org/10.1057/978-1-137-49616-4_8 [Google Scholar]
  33. Street, R. L. , & Gordon, H. S.
    (2006) The clinical context and patient participation in post- diagnostic consultations. Patient Education & Counseling, 64, 217–224. 10.1016/j.pec.2006.02.004
    https://doi.org/10.1016/j.pec.2006.02.004 [Google Scholar]
  34. Thomas, J. , & Wilson, A.
    (1996) Methodologies for studying a corpus of doctor–patient interaction. In J. Thomas , & M. Short (Eds.), Using corpora for language research: Studies in the honour of Geoffrey Leech (pp.92–109). New York: Longman.
    [Google Scholar]
  35. van Vliet, L. M. , van der Wall, E. , Albada, A. , Spreeuwenberg, P. M. , Verheul, W. , & Bensing, J. M.
    (2012) The validity of using analogue patients in practitioner-patient communication research: systematic review and meta-analysis. Journal of General Intern Medicine, 27(11), 1528–43. 10.1007/s11606‑012‑2111‑8
    https://doi.org/10.1007/s11606-012-2111-8 [Google Scholar]
  36. Venetis, M. K. , Robinson, J. D. , Allen, M. , & Turkiewicz, K. L.
    (2009) An evidence base for patient-centered care: A meta-analysis of studies of observed communication between cancer specialists and their patients. Patient Education & Counseling, 77, 379–383, doi:  10.1016/j.pec.2009.09.015
    https://doi.org/10.1016/j.pec.2009.09.015 [Google Scholar]
  37. Venetis, M. K. , Staples, S. , Robinson, J. D. , & Kearney, T.
    (2019) Provider information provision and breast cancer patient well-being. Health Communication, 34, 1032–1042. 10.1080/10410236.2018.1454254
    https://doi.org/10.1080/10410236.2018.1454254 [Google Scholar]

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  • Article Type: Research Article
Keyword(s): MD analysis; medical discourse; provider-patient interaction
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