Treatment Recommendations as Actions.

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 Commun

journal_title

Health communication

authors

Stivers T,Heritage J,Barnes RK,McCabe R,Thompson L,Toerien M

doi

10.1080/10410236.2017.1350913

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

1335-1344

issue

11

eissn

1041-0236

issn

1532-7027

journal_volume

33

pub_type

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