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Participating in decisions about treatment: overt parent pressure for antibiotic medication in pediatric encounters

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  • Stivers, Tanya

Abstract

This article examines how parents and pediatricians negotiate antibiotic prescribing decisions in cases where parents overtly advocate this medication. Using the methodology of conversation analysis, this paper examines audio and videotaped acute care pediatric encounters and discusses four primary ways in which parents raise antibiotics in pediatric encounters. These formulations vary in their directness with indirect formulations being more common. The article argues that both parents and physicians are oriented to antibiotics as negotiable in and through their interaction. Finally, in contrast with existing research, this study suggests that overtly advocating for antibiotic treatment is relatively unusual; future research will need to incorporate an understanding of the effect of both explicit and implicit ways parents communicate pressure for prescription treatment.

Suggested Citation

  • Stivers, Tanya, 2002. "Participating in decisions about treatment: overt parent pressure for antibiotic medication in pediatric encounters," Social Science & Medicine, Elsevier, vol. 54(7), pages 1111-1130, April.
    • Handle: RePEc:eee:socmed:v:54:y:2002:i:7:p:1111-1130
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    Citations

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    Cited by:

    1. Collins, Sarah & Drew, Paul & Watt, Ian & Entwistle, Vikki, 2005. "'Unilateral' and 'bilateral' practitioner approaches in decision-making about treatment," Social Science & Medicine, Elsevier, vol. 61(12), pages 2611-2627, December.
    2. Wang, Nan Christine, 2020. "Understanding antibiotic overprescribing in China: A conversation analysis approach," Social Science & Medicine, Elsevier, vol. 262(C).
    3. Hudak, Pamela L. & Clark, Shannon J. & Raymond, Geoffrey, 2011. "How surgeons design treatment recommendations in orthopaedic surgery," Social Science & Medicine, Elsevier, vol. 73(7), pages 1028-1036.
    4. Del Mastro N., Irene, 2022. "Providing culturally competent and universal health care in the Peruvian Amazon: The role of medical authority," Social Science & Medicine, Elsevier, vol. 315(C).
    5. Toerien, Merran, 2021. "When do patients exercise their right to refuse treatment? A conversation analytic study of decision-making trajectories in UK neurology outpatient consultations," Social Science & Medicine, Elsevier, vol. 290(C).
    6. Tate, Alexandra, 2020. "Invoking death: How oncologists discuss a deadly outcome," Social Science & Medicine, Elsevier, vol. 246(C).
    7. Stivers, Tanya & Timmermans, Stefan, 2021. "Arriving at no: Patient pressure to prescribe antibiotics and physicians’ responses," Social Science & Medicine, Elsevier, vol. 290(C).
    8. Tate, Alexandra, 2022. "Death and the treatment imperative: Decision-making in late-stage cancer," Social Science & Medicine, Elsevier, vol. 306(C).
    9. Zhao, Chunjuan & Ma, Wen, 2020. "Patient resistance towards clinicians’ diagnostic test-taking advice and its management in Chinese outpatient clinic interaction," Social Science & Medicine, Elsevier, vol. 258(C).
    10. Bergen, Clara & McCabe, Rose, 2021. "Negative stance towards treatment in psychosocial assessments: The role of personalised recommendations in promoting acceptance," Social Science & Medicine, Elsevier, vol. 290(C).
    11. Wang, Nan Christine & Liu, Yuetong, 2021. "Going shopping or consulting in medical visits: Caregivers’ roles in pediatric antibiotic prescribing in China," Social Science & Medicine, Elsevier, vol. 290(C).
    12. Schwabe, Meike & Howell, Stephen J. & Reuber, Markus, 2007. "Differential diagnosis of seizure disorders: A conversation analytic approach," Social Science & Medicine, Elsevier, vol. 65(4), pages 712-724, August.
    13. Pilnick, Alison & Dingwall, Robert, 2011. "On the remarkable persistence of asymmetry in doctor/patient interaction: A critical review," Social Science & Medicine, Elsevier, vol. 72(8), pages 1374-1382, April.
    14. Helen Bosley & Catherine Henshall & Jane V Appleton & Debra Jackson, 2018. "A systematic review to explore influences on parental attitudes towards antibiotic prescribing in children," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 892-905, March.
    15. Turowetz, Jason, 2022. "Interaction order and the labeling of disorder: How parents mobilize personal knowledge in the clinic to resist medicalization of their children's behavior," Social Science & Medicine, Elsevier, vol. 294(C).

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