Abstract:
: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?
journal_name
Health Communjournal_title
Health communicationauthors
Stivers T,Heritage J,Barnes RK,McCabe R,Thompson L,Toerien Mdoi
10.1080/10410236.2017.1350913subject
Has Abstractpub_date
2018-11-01 00:00:00pages
1335-1344issue
11eissn
1041-0236issn
1532-7027journal_volume
33pub_type
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