Barnes2018

From emcawiki
Jump to: navigation, search
Barnes2018
BibType ARTICLE
Key Barnes2018
Author(s) Rebecca K. Barnes
Title Preliminaries to treatment recommendations in UK primary care: a vehicle for shared decision making?
Editor(s)
Tag(s) EMCA, Medical, Medical recommendations, Primary Care Consultations
Publisher
Year 2018
Language English
City
Month
Journal Health Communication
Volume 22
Number 11
Pages 1366–1376
URL Link
DOI 10.1080/10410236.2017.1350915
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

Download BibTex

Abstract

This paper focuses on a recurrent practice observed in UK primary care data – how physicians use pre-recommendations: action sequences that when initiated post-diagnosis are recognisably preliminary to the drug treatment recommendations that they contingently project. Data are drawn from recorded primary care consultations collected in England. Pre-recommendations consist of physician requests for information about prior medicines such as, What’ve you tried taking? or Have you taken anything so far? Patient responses subsequently shape the first part of the base treatment recommendation pair. These preliminaries can help physicians manage potential obstacles to patient acceptance: by avoiding prescribing something a patient is already taking, or has tried and found to be ineffective, and by accommodating concerns such as side effects or practical barriers to acceptance. Pre-recommendations are a strategy for convincing/persuading whilst allowing physicians to avoid making an ill-fitted recommendation that might be resisted or rejected as unwanted or unnecessary.

Notes