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OverviewAntibiotics will soon no longer be able to cure common illnesses such as strep throat, sinusitis and middle ear infections as they have done for the last 60 years. Antibiotic-resistant bacteria are increasing at a much faster rate than new antibiotics to treat them are being developed. The prescription of antibiotics for viral illnesses is a key cause of increasing bacterial resistance. Despite this fact, many children continue to receive antibiotics unnecessarily for the treatment of viral upper respiratory tract infections. Why do American physicians continue to prescribe inappropriately given the high social stakes of this action? The answer appears to lie in the fundamentally social nature of medical practice: physicians do not prescribe as the result of a clinical algorithm but prescribe in the context of a conversation with a parent and a child. Thus, physicians have a classic social dilemma which pits individual parents and children against a greater social good.This book examines parent-physician conversations in detail, showing how parents put pressure on doctors in largely covert ways, for instance in specific communication practices for explaining why they have brought their child to the doctor or answering a history-taking question. This book also shows how physicians yield to this seemingly subtle pressure evidencing that apparently small differences in wording have important consequences for diagnosis and treatment recommendations. Following parents use of these interactional practices, physicians are more likely to make concessions, alter their diagnosis or alter their treatment recommendation. This book also shows how small changes in the way physicians present their findings and recommendations can decrease parent pressure for antibiotics. This book carefully documents the important and observable link between micro social interaction and macro public health domains. Full Product DetailsAuthor: Tanya Stivers (Staff Scientist, Language and Communication Group, Staff Scientist, Language and Communication Group, Max Planck Institute for Psycholinguistics) , Tanya StiversPublisher: Oxford University Press Inc Imprint: Oxford University Press Inc Dimensions: Width: 15.60cm , Height: 1.30cm , Length: 23.40cm Weight: 0.331kg ISBN: 9780199756759ISBN 10: 0199756759 Pages: 232 Publication Date: 15 December 2011 Audience: Professional and scholarly , Professional & Vocational Format: Paperback Publisher's Status: Active Availability: To order  Stock availability from the supplier is unknown. We will order it for you and ship this item to you once it is received by us. Table of Contents1. The Miracle Drug: The Context of Modern Antibiotic Usage 2. Foregrounding the Relevance of Antibiotics in the Problem Presentation 3. Alternative Practices for Asking and Answering History-Taking Questions 4. No Problem (No Treatment) Diagnosis Resistance 5. Treatment Resistance 6. Overt Forms of Negotiation 7. Physician Behavior That Influences Parent Negotiation Practices 8. Conclusion Apppendix Notes References IndexReviews<br> Prescribing Under Pressure makes a valuable contribution to the discussion of what we as a society can do about the problem of the over prescription of antibiotics. --M. Catherine Gruber, Linguist List<p><br> Prescribing Under Pressure makes a valuable contribution to the discussion of what we as a society can do about the problem of the over prescription of antibiotics. --M. Catherine Gruber, Linguist List Prescribing Under Pressure makes a valuable contribution to the discussion of what we as a society can do about the problem of the over prescription of antibiotics. M. Catherine Gruber, Linguist List Author InformationTanya Stivers is Staff Scientist in the Language and Communication Group at the Max Planck Institute for Psycholinguistics. Tab Content 6Author Website:Countries AvailableAll regions |
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