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

doi:10.1080/10410236.2017.1350917

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

Sociology

Research output: Contribution to journal › Article › peer-review

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 language	English
Pages (from-to)	1377-1388
Number of pages	12
Journal	Health Communication
Volume	33
Issue number	11
Early online date	5 Sept 2017
DOIs	https://doi.org/10.1080/10410236.2017.1350917
Publication status	Published - 2 Nov 2018

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© 2017 Taylor & Francis Group, LLC. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details

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

Abstract

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