Collins2005b

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Collins2005b
BibType ARTICLE
Key Collins2005b
Author(s) Sarah Collins, Paul Drew, Ian Watt, Vikki Entwistle
Title 'Unilateral' and 'bilateral' practitioner approaches in decision-making about treatment
Editor(s)
Tag(s) EMCA, Medical EMCA, Doctor-patient interaction, Medical consultations, Decision-Making, Patient Participation
Publisher
Year 2005
Language
City
Month
Journal Social Science & Medicine
Volume 61
Number 12
Pages 2611–2627
URL Link
DOI 10.1016/j.socscimed.2005.04.047
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Practitioners can present and discuss decisions about the management of health problems in a variety of ways during consultations. This paper examines in detail how doctors talk with patients in relation to decision-making about treatment. Conversation analyses of decision-making sequences in consultations about diabetes in primary care and about treatment of ear nose and throat (ENT) cancer in a specialist oncology setting, both in the UK, revealed a spectrum of practitioner approaches ranging from more ‘bilateral’ to more ‘unilateral’. This paper identifies the key communicative and organisational features of these approaches and provides some preliminary observations about the implications of these for patient participation in decision-making.

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