Negotiating treatment preferences: Physicians' formulations of patients' stance

Anne Marie Dalby Landmark, Jan Svennevig and Pål Gulbrandsen

Social Science & Medicine, 2016, vol. 149, issue C, 26-36

Abstract: Eliciting patients' values and treatment preferences is an essential element in models of shared decision making, yet few studies have investigated the interactional realizations of how physicians do this in authentic encounters. Drawing on video-recorded encounters from Norwegian secondary care, the present study uses the fine-grained empirical methodology of conversation analysis (CA) to identify one conversational practice physicians use, namely, formulations of patients' stance, in which physicians summarize or paraphrase their understanding of the patient's stance towards treatment. The purpose of this study is twofold: (1) to explore what objectives formulations of patients' stance achieve while negotiating treatment and (2) to discuss these objectives in relation to core requirements in shared decision making.

Keywords: Norway; Physician–patient communication; Shared decision making; Conversation analysis; Formulations; Patient preferences; Patient involvement; Secondary care (search for similar items in EconPapers)
Date: 2016
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Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:socmed:v:149:y:2016:i:c:p:26-36

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DOI: 10.1016/j.socscimed.2015.11.035

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