Applying systemic functional linguistics in healthcare contexts

This paper is concerned with research on healthcare communication that draws on Halliday's systemic functional linguistics (SFL). Section 1 introduces Halliday's notion of appliable linguistics, with SFL as a particular manifestation. Section 2 deals with instances of healthcare communication in the form of medical consultations, and shows how they can be illuminated through SF text analysis. Section 3 relates medical consultations to institutions of healthcare along two dimensions, stratification and instantiation; and it suggests that institutions can be analyzed as aggregates of situation types. Section 4 considers the field of activity within healthcare contexts, suggesting how texts in situation types characterized by different fields complement one another. Section 5 adds tenor considerations in the form of the institutional healthcare roles across fields. Section 6 explores patient journeys through hospitals as sequences of situation types. Section 7 asks how risks and failures inherent in patient journeys can be interpreted, and then analyzed and addressed, in terms of the orders of systems in a hospital. Section 8 continues this systemic analysis, applying them to patients, and Section 9 extends the analysis to healthcare systems, as semo-technical systems. Section 10 shows how relationship-centered healthcare can be interpreted in terms of SFL.