Home > Books > Prescribing Under Pressure: Parent-Physician Conversations and Antibiotics
Prescribing Under Pressure: Parent-Physician Conversations and Antibiotics
View PDF

Prescribing Under Pressure: Parent-Physician Conversations and Antibiotics

Publication Year: 2007
Edition:
Authors/Editor: Stivers, Tanya
Publisher: Oxford University Press (OUP)
ISBN: 978-0-195-31115-0
  • Description
  • Details

Antibiotic-resistant bacteria are increasing at a much faster rate than new antibiotics to treat them are being developed and the prescription of antibiotics for viral illnesses is a key cause of increasing bacterial resistance. 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 carefully documents the important and observable link between micro social interaction and macro public health domains and xpands the scope of traditional sociolinguistics by looking at language in a health care context.

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.

  • Platform:
    Ovid
  • Publisher: Oxford University Press (OUP)
  • Product Type: Book
  • Author/Editor: Stivers, Tanya
  • ISBN: 978-0-195-31115-0
  • Specialty:
    Pediatrics
    Primary Care/Family Medicine/General Practice
  • Language: English
  • Edition:
  • Pages: 242
  • Illustrations: 0
  • Year: 2007

Free Instant Access
This Month

JOTM
Visible Body Anatomy & Physiology Interactive 3D teaching resource, comprised of 50 modules that incorporate 3D models, illustrations, and animations to present core content of basic anatomy and physiology courses.
JOTM
Global Health The only specialist bibliographic abstracting and indexing database dedicated to public health. Global Health contains over 3 million scientific records from 1973 to the present, derived from over 7,300 journals, reports, books and conferences.
JOTM
Neurology® This official journal of the American Academy of Neurology features best practices, evidence-based research and articles on topics that directly affect practicing neurologists.
JOTM
The American Journal of Surgical Pathology Official Journal of The Arthur Purdy Stout Society of Surgical Pathologists and The Gastrointestinal Pathology Society. Contains original articles, review articles, detailed case reports, and special features, enhanced by superb illustrations.

Noteworthy

Doody's Featured Books
21st Century Nursing Leadership
Exciting and indispensable tool that will steer current and emerging nurse leaders through the issues of nursing practice that matter most.

Bethesda Handbook of Clinical Hematology
Provides concise, up-to-date coverage of need to know information on the diagnosis and treatment of blood and bone marrow disorders.