3 Conversation analysis of authentic care decision conversations 51 3.2 When are care decisions discussed? The conversations in our data take place in an institutional setting: during consultations at the internal medicine outpatient clinic. Unlike acute primary care visits, which formed the basis for Heritage & Clayman’s (2010) [21] framework of phases in physician-patient conversations, our data consists of scheduled (follow-up) visits. Most of our patients therefore had a known diagnosis, for instance chronic kidney failure or diabetes. In our data we identified roughly the same phases as Heritage & Clayman (see Figures 2a and 2b), although we also found differences. Figure 2. Phases of the consultation a. phases in physician-patient conversations in acute primary care visits identified by Heritage & Clayman, 2010[1]. b. phases in physician-patient conversations in scheduled (follow-up) visits at the outpatient clinic of internal medicine.
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