Patient-Centred Communication: Discourse of In-home Medical Consultations for Older Adults, by Kayo Kondo
Bibliographic record
Abstract
The clinical encounter entails a complex interpersonal communicative act, which transcends mere physical examination.Patient-centered communication (PCC), as we understand it today, is a challenge for medical professionals, who should not only understand the illness but also the patient's experience of it.A series of communication skills are thus required to lay the foundations of the patient-physician relationship.In Patient-centred Communication: Discourse of In-home Medical Consultations for Older Adults, Kayo Kondo provides a detailed study of home consultations by analyzing the formation and development of patient-physician expressions, which characterize communication in the specific context of Tokyo.The Calgary-Cambridge Guide, used in medical education for clinical interviews, is here incorporated as a support in the exploration of communicative behaviors, and although it adapts small aspects to the Japanese reality, its scope of application is international.The interventions are studied from the point of view of Brown and Levinson's politeness theory, focusing on some cultural aspects that contrast with those of the Western world.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.005 | 0.005 |
| Scholarly communication | 0.003 | 0.005 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.002 | 0.003 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".