Difference between revisions of "Stivers2005a"
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|Author(s)=Tanya Stivers; | |Author(s)=Tanya Stivers; | ||
|Title=Non-antibiotic treatment recommendations: delivery formats and implications for parent resistance | |Title=Non-antibiotic treatment recommendations: delivery formats and implications for parent resistance | ||
| − | |Tag(s)=EMCA; Conversation analysis; Doctor–patient communication; Antibiotic prescribing; Pediatric care | + | |Tag(s)=EMCA; Conversation analysis; Doctor–patient communication; Antibiotic prescribing; Pediatric care; USA |
|Key=Stivers2005a | |Key=Stivers2005a | ||
|Year=2005 | |Year=2005 | ||
Revision as of 03:52, 7 May 2019
| Stivers2005a | |
|---|---|
| BibType | ARTICLE |
| Key | Stivers2005a |
| Author(s) | Tanya Stivers |
| Title | Non-antibiotic treatment recommendations: delivery formats and implications for parent resistance |
| Editor(s) | |
| Tag(s) | EMCA, Conversation analysis, Doctor–patient communication, Antibiotic prescribing, Pediatric care, USA |
| Publisher | |
| Year | 2005 |
| Language | English |
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| Month | |
| Journal | Social Science & Medicine |
| Volume | 60 |
| Number | |
| Pages | 949–964 |
| URL | |
| DOI | 10.1016/j.socscimed.2004.06.040 |
| ISBN | |
| Organization | |
| Institution | |
| School | |
| Type | |
| Edition | |
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| Howpublished | |
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| Chapter | |
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.
Notes
