Stivers2002

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Stivers2002
BibType ARTICLE
Key Stivers2002
Author(s) Tanya Stivers
Title Participating in decisions about treatment: overt parent pressure for antibiotic medication in pediatric encounters
Editor(s)
Tag(s) EMCA, Antibiotic prescribing, Doctor–parent communication, Pediatric consultation, United States
Publisher
Year 2002
Language English
City
Month
Journal Social Science & Medicine
Volume 54
Number 7
Pages 1111–1130
URL Link
DOI 10.1016/S0277-9536(01)00085-5
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

This article examines how parents and pediatricians negotiate antibiotic prescribing decisions in cases where parents overtly advocate this medication. Using the methodology ofconversation analysis, this paper examines audio and videotaped acute care pediatric encounters and discusses four primary ways in which parents raise antibiotics in pediatric encounters. These formulations vary in their directness with indirect formulations being more common. The article argues that both parents and physicians are oriented to antibiotics as negotiable in and through their interaction. Finally, in contrast with existing research, this study suggests that overtly advocating for antibiotic treatment is relatively unusual; future research will need to incorporate an understanding of the effect of both explicit and implicit ways parents communicate pressure for prescription reatment.

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