4.5 Article

How Doctors Do Things with Empathy in Online Medical Consultations in China: A Discourse-analytic Approach

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HEALTH COMMUNICATION
卷 36, 期 7, 页码 816-825

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ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/10410236.2020.1712527

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This study explores the pragmatic functions of doctors' empathic responses in text-based online medical consultations in China using discourse-analytic tools. Most empathic responses by doctors are found to facilitate the institutional task of problem-solving, while a few serve the function of self-promotion likely influenced by the e-commerce model for online medical services.
It is widely acknowledged that doctors' expressions of empathy are fundamental to a successful medical consultation. While extensive work has been done on empathic communication in face-to-face medical encounters, few studies explored expressions of empathy in online medical consultations. Such research is particularly scarce in Chinese contexts, even though China has recently seen substantial growth in e-healthcare activities. To gain a better understanding of clinical empathic communication in online environment, this study, using discourse-analytic tools, explores the pragmatic functions of doctors' empathic responses in text-based online medical consultations in China. The study finds that most empathic responses by doctors can be said to perform the function of facilitating the institutional task of problem-solving, and a few serve the function of self-promotion that is likely to be triggered by the e-commerce model for online medical services.

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