Stivers2005a

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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
City
Month
Journal Social Science & Medicine
Volume 60
Number 5
Pages 949–964
URL Link
DOI 10.1016/j.socscimed.2004.06.040
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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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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