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Claiming or abdicating medical authority: Treatment recommendation actions, doctor-patient relationship, and antibiotic overprescription in Chinese paediatrics.
- Source :
-
Sociology of health & illness [Sociol Health Illn] 2024 May; Vol. 46 (4), pp. 722-743. Date of Electronic Publication: 2023 Dec 08. - Publication Year :
- 2024
-
Abstract
- Antibiotic overprescription in China has long been considered a problem on the supply side, linked to the financial incentives of physicians. Based on the conversation analysis of 187 video-recorded naturally occurring medical consultations in Chinese paediatric primary care settings, this study finds that the driving force behind the problem of antibiotic overprescription in China has changed. Physicians use a low-authority communication style to recommend treatment, displaying a low level of medical authority and a willingness to accommodate caregivers' preferences in antibiotic prescribing decisions. The problem is now attributed to physician-caregiver interaction, doctor-patient relationship and the antibiotic-saturated prescribing culture. Practice implications involve deepening the understanding of the evolving nature of the antibiotic overprescription problem in China, building trust between physicians and patients/caregivers in order to facilitate the physicians' role as the gatekeeper of antibiotics and providing training programmes to help physicians develop effective communication skills.<br /> (© 2023 Foundation for the Sociology of Health & Illness.)
Details
- Language :
- English
- ISSN :
- 1467-9566
- Volume :
- 46
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Sociology of health & illness
- Publication Type :
- Academic Journal
- Accession number :
- 38063484
- Full Text :
- https://doi.org/10.1111/1467-9566.13733