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Related Experiment Videos

Medical recommendations as joint social practice.

B A Costello1, F Roberts

  • 1Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.

Health Communication
|September 12, 2001
PubMed
Summary

Treatment plans are co-created through everyday conversations in medical settings, not solely dictated by physicians. This research highlights how patient input actively shapes medical decisions, challenging notions of unilateral physician power.

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Area of Science:

  • Medical Sociology
  • Health Communication
  • Clinical Practice Research

Background:

  • Treatment plans are key outcomes of medical interactions.
  • Evidence suggests differential treatment patterns and potential bias in medical practice.
  • Identifying the precise sources of treatment bias has remained challenging.

Purpose of the Study:

  • To investigate the role of everyday language in negotiating treatment plans.
  • To examine how patient agency and physician power dynamics influence medical outcomes.
  • To analyze the impact of actual communication within clinical encounters.

Main Methods:

  • Detailed analysis of transcripts from general medicine and oncology clinic interactions.
  • Focus on the linguistic practices used during medical encounters.
  • Examination of how agreement is maximized in treatment planning.

Main Results:

  • Treatment plans emerge from negotiated, everyday language practices.
  • Patient agency is demonstrably operative within individual medical encounters.
  • Physician power does not solely determine treatment outcomes.

Conclusions:

  • Medical treatment plans are a product of collaborative talk, not just physician authority.
  • Understanding communication dynamics is crucial for addressing potential bias in healthcare.
  • Focusing on actual dialogue reveals the mechanisms of shared decision-making in clinical settings.

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