TY - JOUR
T1 - Closing the Deal
T2 - A Cross-Cultural Comparison of Treatment Resistance
AU - Bergen, Clara
AU - Stivers, Tanya
AU - Barnes, Rebecca K.
AU - Heritage, John
AU - McCabe, Rose
AU - Thompson, Laura
AU - Toerien, Merran
PY - 2018/11/2
Y1 - 2018/11/2
N2 - This study investigates patient resistance to doctors’ treatment recommendations in a cross-national comparison of primary care. Through this lens, we explore English and American patients’ enacted priorities, expectations, and assumptions about treating routine illnesses with prescription versus over-the-counter medications. We perform a detailed analysis of 304 (American) and 393 (English) naturally occurring treatment discussions and conclude that American and English patients tend to use treatment resistance in different prescribing contexts to pursue different ends. While American patients are most likely to resist recommendations for non-prescription treatment and display an expectation for prescription treatment in these interactions, English patients show a high level of resistance to recommendations for all types of treatment and display an expectation of cautious prescribing. These behavioral trends reflect broader structural forces unique to each national context and ultimately maintain distinct cultural norms of good-practice prescribing.
AB - This study investigates patient resistance to doctors’ treatment recommendations in a cross-national comparison of primary care. Through this lens, we explore English and American patients’ enacted priorities, expectations, and assumptions about treating routine illnesses with prescription versus over-the-counter medications. We perform a detailed analysis of 304 (American) and 393 (English) naturally occurring treatment discussions and conclude that American and English patients tend to use treatment resistance in different prescribing contexts to pursue different ends. While American patients are most likely to resist recommendations for non-prescription treatment and display an expectation for prescription treatment in these interactions, English patients show a high level of resistance to recommendations for all types of treatment and display an expectation of cautious prescribing. These behavioral trends reflect broader structural forces unique to each national context and ultimately maintain distinct cultural norms of good-practice prescribing.
KW - PRESCRIBING RATES
KW - Treatment resistance
KW - DOCTOR-PATIENT COMMUNICATION
KW - CONVERSATION ANALYSIS
KW - CROSS - NATIONAL COMPARISON
UR - http://www.scopus.com/inward/record.url?scp=85029443652&partnerID=8YFLogxK
U2 - 10.1080/10410236.2017.1350917
DO - 10.1080/10410236.2017.1350917
M3 - Article (Academic Journal)
C2 - 28872891
AN - SCOPUS:85029443652
SN - 1041-0236
VL - 33
SP - 1377
EP - 1388
JO - Health Communication
JF - Health Communication
IS - 11
ER -