This article examines the doctor’s elicitation of the patient’s presenting health concern in two clinical settings in the Vietnamese public hospital system: the consulting room and the ward. The data were taken from 66 audio-recorded consultations. Our analysis shows that the elicitors used by the doctor in the consulting room often communicate a weak epistemic stance towards the patient’s health issue, while those used in the ward tend to signal a strong epistemic stance. In addition, this contrast between the elicitors employed in the consulting room and the ward is evident in our data regardless of whether the consultation is a first visit or a same follow-up (in which the doctor is the same one that treated the patient on their last visit), though the contrast is less clear for different follow-ups (in which the doctor has not treated the patient before). An additional finding is that the clinical setting has some bearing on the use of inappropriate elicitation formats (in which the doctor opens the visit with an elicitor which is more appropriate for another type of visit). The precise way in which each of the consulting room and the ward operates is, of course, a feature of the Vietnamese public hospital system itself. Hence, the overall contrast between the elicitors and elicitation formats used in these two settings illustrates how, on a more general level, the institutional context can have an impact on doctor-patient communication.
This paper examines the opening sequence of police-driver encounters at traffic stops when the police officers state the reasons for the stop, or request documents. Data include 30 video-recorded encounters between Vietnamese police officers and drivers, and are analysed using the methodology of Conversation Analysis. The findings have shown that police officers wield their judicial authority and institutional power right at the outset of the interactions by leading the interaction in a narrowly focused policing agenda, and taking different conversational paths. We argue that these differences in interactional orders may decrease driver co-operation and compliance with police officer directions, and be highly likely to increase recidivism. The present study may give police officers some new ideas about how to behave towards drivers during traffic stops, thus improving police-driver interactions in the Vietnamese policing context as well as in other cultural contexts in some respects.
This study investigated the doctor's recommendation of treatment to their adult patients in primary-care visits in the Vietnamese context. Data was gathered from 55 audio-recorded consultations at two public hospitals, and examined from a conversation-analytic perspective.We demonstrate that the participating doctors used two main approaches to treatment recommendation with their patients: general and detailed. In the latter case, the doctor recommended a treatment regime, sought the patient's agreement, or offered choices regarding aspects of the treatment. Our overall contention is that, in the Vietnamese public hospital system, the doctor's organisation of talk in the course of recommending treatment tends to be shaped by the institutional and cultural context in which it occurs, regardless of which type of treatment approach is being used.
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