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    Treatment recommendations as actions

    Stivers, T. and Heritage, J. and Barnes, R.K. and McCabe, R. and Thompson, Laura and Toerien, M. (2017) Treatment recommendations as actions. Health Communication 33 (11), pp. 1335-1344. ISSN 1041-0236.

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    From the earliest studies of doctor-patient interaction (Byrne & Long, 1976), it has been recognized that treatment recommendations may be expressed in more or less authoritative ways, based on their design and delivery. There are clear differences between I’m going to start you on X and We can give you X to try and Would you like me to give you X? Yet little is known about this variation, its contexts, or its consequences. In this paper, we develop a basic taxonomy of treatment recommendations in primary care as a first step toward a more comprehensive investigation. We take as our point of departure the observation that treatment recommendations such as those above represent not only different formulations but also different social actions. We distinguish five main treatment recommendation actions: pronouncements, suggestions, proposals, offers, and assertions. We ask: what are the main dimensions on which these recommendations vary and to what end? And what sorts of factors shape a clinician’s use of one action type over another with respect to recommending a medication in the primary care context?


    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: 18 Aug 2017 08:07
    Last Modified: 10 Jun 2021 00:53


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