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Unique contribution of qualitative methods for studying clinician—patient communication Unique contribution of qualitative methods for studying clinician—patient communication
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Representative approaches and relevant empirical studies Representative approaches and relevant empirical studies
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Ethnography Ethnography
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Interviewing Interviewing
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Focus groups Focus groups
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Grounded theory Grounded theory
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Conversation analysis Conversation analysis
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Ethnography of communication Ethnography of communication
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Postmodernism Postmodernism
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Ethical issues in field-based qualitative research Ethical issues in field-based qualitative research
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Validity and reliability Validity and reliability
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Conclusion Conclusion
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References References
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60 Qualitative approaches to clinician—patient communication
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Published:March 2010
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Abstract
Patient care is not simply about message transmission, it is about a dynamic interplay of information, emotions, expertise, goals, beliefs, and so on. To study the artful management of the complexities of healthcare communication, qualitative approaches can be highly productive and can stimulate new insight: ‘how’ may be a more relevant question to begin with than ‘how much’. In oncology and palliative care, as in any medical domain, both physicians and cancer patients have concerns, though perhaps somewhat different ones, regarding preferred trajectories and outcomes of the medical visit. Physicians face the tension of maintaining the delicate balance between informative yet hopeful communication. They deftly navigate the line between recommending treatment and avoiding guarantees. This chapter reflects on the special ethical challenges facing researchers engaged in field-based studies and discusses the trade-offs between reliability and validity in qualitative research.
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