Stivers2005a
| Stivers2005a | |
|---|---|
| BibType | ARTICLE |
| Key | Stivers2005a |
| Author(s) | Tanya Stivers |
| Title | Non-antibiotic treatment recommendations: delivery formats and implications for parent resistance |
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| Tag(s) | EMCA, Conversation analysis, Doctor–patient communication, Antibiotic prescribing, Pediatric care, USA |
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| Year | 2005 |
| Language | English |
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| Journal | Social Science & Medicine |
| Volume | 60 |
| Number | 5 |
| Pages | 949–964 |
| URL | Link |
| DOI | 10.1016/j.socscimed.2004.06.040 |
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Abstract
This study draws on a database of 570 community-based acute pediatric encounters in the USA and uses conversation analysis as a methodology to identify two formats physicians use to recommend non-antibiotic treatment in acute pediatric care (using a subset of 309 cases): recommendations for particular treatment (e.g., “I’m gonna give her some cough medicine.”) and recommendations against particular treatment (e.g., “She doesn’t need any antibiotics.”). The findings are that the presentation of a specific affirmative recommendation for treatment is less likely to engender parent resistance to a non-antibiotic treatment recommendation than a recommendation against particular treatment even if the physician later offers a recommendation for particular treatment. It is suggested that physicians who provide a specific positive treatment recommendation followed by a negative recommendation are most likely to attain parent alignment and acceptance when recommending a non-antibiotic treatment for a viral upper respiratory illness.
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