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Discursive positioning of doctors and e‑patients in online medical consultations in China

An orientation toward affective affiliation

ORCID logo | Beijing Information Science and Technology University

This study investigates the identity positioning of doctors and e‑patients in online medical consultations (OMCs) in China from the perspective of poststructuralist discourse analysis. Adopting positioning theory as the analytical framework, the study examines 100 asynchronous text-based OMCs with the purpose of identifying the positions of the OMC participants and the pragmatic function of these positions. The study found that the identity of e‑patients and doctors reflects multiple positions that are constructed and negotiated in the OMC discourse, including the emotional support seeker/giver position, the online buyer/seller position, the peer position, and the ‘family member’ position. Taken together, these positions can help establish an affective relationality between doctors and e‑patients, which contributes to a positive image of the participants and to the empowerment of e‑patients in particular.

Keywords: online medical consultation, identity positioning, pragmatic function, poststructuralist discourse analysis, positioning theory, China, doctors and e‑patients, affective affiliation
Article outline
  • 1.Introduction
  • 2.Literature review
  • 3.Data and analytical approach
  • 4.The multiple positions of doctors and e‑patients in OMCs
    • 4.1Emotional support seeker (ESS)/giver (ESG)
    • 4.2Online seller/buyer
    • 4.3Interpersonal proximity positioning
      • 4.3.1Egalitarian or horizontal affiliative positioning
      • 4.3.2Hierarchical or vertical affiliative positioning
  • 5.Discussion and conclusion
  • Acknowledgements
  • Notes
  • References
Published online: 30 October 2023
DOI logo
https://doi.org/10.1075/ps.19025.zha
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