Trust Me, I Am a Doctor: Discourse of Trustworthiness by Chinese Doctors in Online Medical Consultation.

Abstract:

:As a key notion in medical consultation, trustworthiness has been the attention of an array of research, focusing on its significance for the patient-doctor alliance as well as the success of communication in between. Despite its importance, scant effort has been made previously about the actual discourse through which trustworthiness is achieved, in particular for online medical consultation in Chinese. The aim of this research is to investigate the linguistic structures of Chinese doctors' narratives for trustworthiness construction in online medical consultation. We use the Internet-based dataset collected from 120 ask.com. It is found that doctors' trustworthiness discourse can be categorized into two types: authoritative discourse and attitudinal discourse, with the former specifically realized by expertise-oriented discourse through medical jargon and experience-oriented discourse with the help of individual experience and collective experience, and the latter by including affection-oriented discourse through doctors' respect for patients, behavior-oriented discourse by means of doctors' avoidance of imposition on patients and cognition-oriented discourse with the aid of doctors' disagreements. Meanwhile, detailed linguistic and para-linguistic means to realize these discourses are analyzed to offer some insights into the appropriate discourses of trustworthiness for the doctors both online and offline in Chinese medical consultation scenario.

journal_name

Health Commun

journal_title

Health communication

authors

Zhao X,Mao Y

doi

10.1080/10410236.2019.1692491

subject

Has Abstract

pub_date

2019-11-18 00:00:00

pages

1-9

eissn

1041-0236

issn

1532-7027

pub_type

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