Pilnick2010a

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Pilnick2010a
BibType ARTICLE
Key Pilnick2010a
Author(s) Alison Pilnick, Tim Coleman
Title "Do Your Best for Me": The Difficulties of Finding a Clinically Effective Endpoint in Smoking Cessation Consultations in Primary Care
Editor(s)
Tag(s) medical EMCA, primary care, smoking cessation, general practice
Publisher
Year 2010
Language
City
Month
Journal Health
Volume 14
Number 1
Pages 57–74
URL Link
DOI 10.1177/1363459309347489
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

In recent years in the UK there has been a shift towards doctors practising preventative medicine. Research suggests, however, that doctors are more comfortable in their traditional role, and may be reluctant to engage in discussion of lifestyle issues with patients. In this article, we use data from GPs’ consultations about smoking, recorded prior to the availability of Nicotine Replacement Therapy on NHS prescription, to demonstrate how they attempt to negotiate behaviour change. Using a discursive analytic approach, and drawing particularly on some of the conversation analytic literature on advice giving, we suggest that there are two kinds of difficulties for doctors to overcome: an ambiguity about the interactional endpoint of a discussion about smoking; and the inability to offer ‘expert’ medical help. As a result, doctors struggle with following through their advice to stop in terms of talking about how to do it.We suggest that the efficacy of nicotine addiction treatments may be due not only to their clinical effects, but also because their prescription legitimizes the difficulty in stopping reported by most smokers as an appropriate problem for medical treatment.We discuss the implications of these findings for the management of smoking and other lifestyle issues within primary care consultations.

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