Téléchargez le livre : Prescribing under Pressure

Prescribing under Pressure

Parent-Physician Conversations and Antibiotics

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Oxford University Press


Paru le : 2007-03-01



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Description
Antibiotics will soon no longer be able to cure common illnesses such as strep throat, sinusitis and middle ear infections as they have done for the last 60 years. Antibiotic-resistant bacteria are increasing at a much faster rate than new antibiotics to treat them are being developed. The prescription of antibiotics for viral illnesses is a key cause of increasing bacterial resistance. Despite this fact, many children continue to receive antibiotics unnecessarily for the treatment of viral upper respiratory tract infections. Why do American physicians continue to prescribe inappropriately given the high social stakes of this action? The answer appears to lie in the fundamentally social nature of medical practice: physicians do not prescribe as the result of a clinical algorithm but prescribe in the context of a conversation with a parent and a child. Thus, physicians have a classic social dilemma which pits individual parents and children against a greater social good. This book examines parent-physician conversations in detail, showing how parents put pressure on doctors in largely covert ways, for instance in specific communication practices for explaining why they have brought their child to the doctor or answering a history-taking question. This book also shows how physicians yield to this seemingly subtle pressure evidencing that apparently small differences in wording have important consequences for diagnosis and treatment recommendations. Following parents use of these interactional practices, physicians are more likely to make concessions, alter their diagnosis or alter their treatment recommendation. This book also shows how small changes in the way physicians present their findings and recommendations can decrease parent pressure for antibiotics. This book carefully documents the important and observable link between micro social interaction and macro public health domains.
Pages
n.c
Collection
n.c
Parution
2007-03-01
Marque
Oxford University Press
EAN papier
9780195311150
EAN PDF
9780195345537
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0
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0
Taille du fichier
1382 Ko
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Prix
14,49 €
EAN EPUB
9780190295134
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Nombre pages copiables
0
Nombre pages imprimables
0
Taille du fichier
748 Ko
Ce livre est accessible aux handicaps Voir les informations sur l'accessibilité
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15,33 €
Tanya Stivers is Staff Scientist in the Language and Communication Group at the Max Planck Institute for Psycholinguistics.

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