Supplementary Information Files for- Two sources of miscommunication in oncology consultations: An observational study using conversation analysis

Supplementary Information Files for- Two sources of miscommunication in oncology consultations: An observational study using conversation analysisThis article investigates miscommunication in sequences of talk where an oncologist asks about patients’ co-morbidities, that is, their other illnesses beyond cancer. Using conversation analysis, we examine ways in which the participants identify and manage two sources of miscommunication: a divergence in the doctor’s and the patient’s understandings about the scope of the question; and a divergence in the doctor’s and the patient’s (and sometimes their companion’s) understandings about the matters that the question targets. Our findings have implications for practice, highlighting ways in which clinicians and patients can manage these sources of miscommunication. These include practices to retrospectively or pre-emptively manage ambiguities and to check the accuracy of patients’ answers. Additionally, our study addresses some theoretical and methodological problems in the study of miscommunication. Our data consist of 25 video-recorded first consultations in an Italian hospital; the participants speak Italian.

《肿瘤学会诊中的两类沟通误解来源：一项基于会话分析（conversation analysis）的观察性研究》补充信息文件
本文聚焦肿瘤医师询问患者合并症（co-morbidities，即癌症以外的其他疾病）的会话序列中的沟通误解问题。本研究采用会话分析方法，考察参与方识别并处置两类沟通误解的路径：一是医师与患者对问题涵盖范围的理解存在偏差；二是医师与患者（有时还包括陪同人员）对问题所指向的具体内容的理解存在偏差。本研究结果对临床实践具有指导意义，明确了临床医师与患者可用于应对上述沟通误解的具体操作方式，包括回溯性或前瞻性地化解歧义、核查患者回答准确性的相关实践。此外，本研究还解决了沟通误解研究领域中的部分理论与方法论难题。本研究的数据来自意大利某医院的25例录像记录的首次会诊场景，参与人员均使用意大利语进行交流。