Closing the Deal: A Cross-Cultural Comparison of Treatment Resistance

Clara Bergen*, Tanya Stivers, Rebecca K. Barnes, John Heritage, Rose McCabe, Laura Thompson, Merran Toerien

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

10 Citations (Scopus)
256 Downloads (Pure)

Abstract

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.

Original languageEnglish
Pages (from-to)1377-1388
Number of pages12
JournalHealth Communication
Volume33
Issue number11
Early online date5 Sep 2017
DOIs
Publication statusPublished - 2 Nov 2018

Keywords

  • PRESCRIBING RATES
  • Treatment resistance
  • DOCTOR-PATIENT COMMUNICATION
  • CONVERSATION ANALYSIS
  • CROSS - NATIONAL COMPARISON

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