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When care meets commerce: Patient resistance in optometric consultations
Holly Dobrzycki1, Dirk Vom Lehn1, Peter Allen2
1King's College London, King's Business School, 30 Aldwych, Bush House, London, WC2B 4BG, United Kingdom.
Social Science & Medicine (1982)
|July 10, 2026
Summary
Client reasons for eye exams impact acceptance of optometrist recommendations. Routine check-ups lead to resistance, while vision changes prompt alignment, revealing patient consumer attitudes.
Area of Science:
- Ophthalmology
- Healthcare Communication
- Sociology of Health
Background:
- Patient-centered care is crucial in healthcare.
- Optometric practices involve treatment recommendations.
- Patients may reject professional advice.
Purpose of the Study:
- To analyze client responses to optometrist recommendations.
- To investigate factors influencing recommendation acceptance or rejection.
- To understand patient consumer attitudes in optometry.
Main Methods:
- Conversation analysis of 66 optometric eye examinations.
- Examination of client responses to treatment recommendations.
- Analysis of client accounts for recommendation resistance.
Main Results:
- Reason for visit influences recommendation rejection.
- Clients attending for routine exams resist recommendations.
- Clients citing vision changes align with recommendations.
- Resisting clients provide accounts referencing lens experience, showing consumer attitudes.
Conclusions:
- Patient consumerism impacts optometric treatment adherence.
- Understanding reasons for visit is key to patient-centered care in optometry.
- Healthcare delivery in commercial contexts requires attention to patient attitudes.
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