Bergen, C. and Stivers, T. and Heritage, J. and Barnes, R. and McCabe, R. and Thompson, Laura and Toerien, M. (2017) Closing the deal: a cross-cultural comparison of treatment resistance. Health Communication 33 (11), pp. 1377-1388. ISSN 1041-0236.
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Abstract
This study investigates patient resistance to doctors’ treatment recommendations in a cross-national comparison of primary care. Through this lens, we explore English and American patients’ enacted priorities, expectations, and assumptions about treating routine illnesses with prescription versus over-the-counter medications. We perform a detailed analysis of 304 (American) and 393 (English) naturally occurring treatment discussions and conclude that American and English patients tend to use treatment resistance in different prescribing contexts to pursue different ends. While American patients are most likely to resist recommendations for non-prescription treatment and display an expectation for prescription treatment in these interactions, English patients show a high level of resistance to recommendations for all types of treatment and display an expectation of cautious prescribing. These behavioral trends reflect broader structural forces unique to each national context and ultimately maintain distinct cultural norms of good-practice prescribing.
Metadata
| Item Type: | Article |
|---|---|
| Additional Information: | This is an Accepted Manuscript of an article published by Taylor & Francis, available online at the link above. |
| School: | Other Divisions > Other |
| Research Centres and Institutes: | Sustainable Working Life, Centre for |
| Depositing User: | Administrator |
| Date Deposited: | 06 Sep 2017 10:06 |
| Last Modified: | 07 Aug 2025 18:59 |
| URI: | https://eprints.bbk.ac.uk/id/eprint/19479 |
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