Department of Quantitative Health Sciences
Health Communication | Health Services Administration | Health Services Research
Submitted as Invited Editorial response to Singh Ospina et. al. Eliciting the Patient’s Agenda – Secondary Analysis of Recorded Clinical Encounters. In 1984, Elliot Mishler published a book called the Discourse of Medicine in which he argued that patients and providers bring different stories to a clinical encounter—the former reflecting the world in which the patient manages their health and illness and the latter reflecting the biomedical definitions of disease and treatment. He showed that providers far too often interrupt the patient stories in favor of a more biomedical version of the person in front of them. It was the beginning of reflections on the need to bridge these two stories in order to foster better communication and patient-centered care.
patient care, provider-patient communication
Rights and Permissions
© Society of General Internal Medicine (This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply) 2018
DOI of Published Version
J Gen Intern Med. 2019 Jan;34(1):1-2. doi: 10.1007/s11606-018-4711-4. Link to article on publisher's site
Journal of general internal medicine
Bokhour, Barbara G. and Cutrona, Sarah L., "Time to Listen More and Talk Less" (2019). Population and Quantitative Health Sciences Publications. 1236.