Difference between revisions of "Toerien2011"

Latest revision as of 04:06, 12 August 2020

Toerien2011
BibType	ARTICLE
Key	Toerien2011
Author(s)	Merran Toerien, Rebecca Shaw, Roderick Duncan, Markus Reuber
Title	Offering patients choices: A pilot study of interactions in the seizure clinic
Editor(s)
Tag(s)	CA, Institutional interaction, Medical interaction, Decision Making, Shared decision-making, Patient choice, Option-listing, Proposals
Publisher
Year	2011
Language
City
Month
Journal	Epilepsy & Behavior
Volume	20
Number	2
Pages	312–320
URL	Link
DOI	10.1016/j.yebeh.2010.11.004
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

Abstract

Notes

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 |URL=http://www.sciencedirect.com/science/article/pii/S1525505010007043
 |DOI=10.1016/j.yebeh.2010.11.004
-|Abstract=Using conversation analysis (CA), we studied conversations between one United Kingdom-based epilepsy specialist and 13 patients with seizures in whom there was uncertainty about the diagnosis and for whom different treatment and investigational options were being considered. In line with recent communication guidance, the specialist offered some form of choice to all patients: in eight cases, a course of action was proposed, to be accepted or rejected, and in the remaining five, a “menu” of options was offered. Even when presenting a menu, the specialist sometimes conveyed his own preferences in how he described the options, and in some cases the menu was used for reasons other than offering choice (e.g., to address patient resistance). Close linguistic and interactional analysis of clinical encounters can show why doctors may feel they are offering choices when patients report that the decision was clinician dominated.
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