Prescribing Under Pressure
Parent-physician Conversations and Antibiotics
By (author) Tanya Stivers
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Prescribing Under Pressure by Tanya Stivers
Book DescriptionAntibiotics will soon no longer be able to cure common illnesses such as strep throat, sinusitis and middle ear infections as they have done for the last 60 years. Antibiotic-resistant bacteria are increasing at a much faster rate than new antibiotics to treat them are being developed. The prescription of antibiotics for viral illnesses is a key cause of increasing bacterial resistance. Despite this fact, many children continue to receive antibiotics unnecessarily for the treatment of viral upper respiratory tract infections. Why do American physicians continue to prescribe inappropriately given the high social stakes of this action? The answer appears to lie in the fundamentally social nature of medical practice: physicians do not prescribe as the result of a clinical algorithm but prescribe in the context of a conversation with a parent and a child. Thus, physicians have a classic social dilemma which pits individual parents and children against a greater social good. This book examines parent-physician conversations in detail, showing how parents put pressure on doctors in largely covert ways, for instance in specific communication practices for explaining why they have brought their child to the doctor or answering a history-taking question. This book also shows how physicians yield to this seemingly subtle pressure evidencing that apparently small differences in wording have important consequences for diagnosis and treatment recommendations. Following parents use of these interactional practices, physicians are more likely to make concessions, alter their diagnosis or alter their treatment recommendation. This book also shows how small changes in the way physicians present their findings and recommendations can decrease parent pressure for antibiotics. This book carefully documents the important and observable link between micro social interaction and macro public health domains.
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Book DetailsISBN: 9780195311150
(243mm x 164mm x 22mm)
Imprint: Oxford University Press Inc
Publisher: Oxford University Press Inc
Publish Date: 22-Mar-2007
Country of Publication: United States
Books By Author Tanya Stivers
Handbook of Conversation Analysis, Paperback (September 2014)
Presenting a comprehensive overview of theoretical and descriptive research in the field, this book is suitable for scholars of social interaction across the areas of conversation analysis, discourse analysis, linguistic anthropology, interpersonal communication, discursive psychology and sociolinguistics.
Morality of Knowledge in Conversation, Paperback (August 2014)
This book demonstrates how we monitor others' rights to, and responsibilities for, knowledge in conversation, and their consequences for affiliation.
Person Reference in Interaction, Paperback (July 2012)View all books by Tanya Stivers
This book examines how we refer to other people in everyday conversation, across different languages and cultures.
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Author Biography - Tanya Stivers
Tanya Stivers is Staff Scientist in the Language and Communication Group at the Max Planck Institute for Psycholinguistics.
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