By the same authors

From the same journal

From the same journal

Generating the perception of choice: The remarkable malleability of option-listing

Research output: Contribution to journalArticle

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Generating the perception of choice : The remarkable malleability of option-listing. / Toerien, Merran Gurney; Reuber, Markus; Duncan, Roderick; Shaw, Rebecca.

In: Sociology of Health and Illness, Vol. 40, No. 7, 09.2018, p. 1250-1267.

Research output: Contribution to journalArticle

Harvard

Toerien, MG, Reuber, M, Duncan, R & Shaw, R 2018, 'Generating the perception of choice: The remarkable malleability of option-listing', Sociology of Health and Illness, vol. 40, no. 7, pp. 1250-1267. https://doi.org/10.1111/1467-9566.12766

APA

Toerien, M. G., Reuber, M., Duncan, R., & Shaw, R. (2018). Generating the perception of choice: The remarkable malleability of option-listing. Sociology of Health and Illness, 40(7), 1250-1267. https://doi.org/10.1111/1467-9566.12766

Vancouver

Toerien MG, Reuber M, Duncan R, Shaw R. Generating the perception of choice: The remarkable malleability of option-listing. Sociology of Health and Illness. 2018 Sep;40(7):1250-1267. https://doi.org/10.1111/1467-9566.12766

Author

Toerien, Merran Gurney ; Reuber, Markus ; Duncan, Roderick ; Shaw, Rebecca. / Generating the perception of choice : The remarkable malleability of option-listing. In: Sociology of Health and Illness. 2018 ; Vol. 40, No. 7. pp. 1250-1267.

Bibtex - Download

@article{bf73163f0bfd43d2ad2a085694e727bb,
title = "Generating the perception of choice: The remarkable malleability of option-listing",
abstract = "The normative view that patients should be offered more choice both within and beyond the UK's National Health Service (NHS) has been increasingly endorsed. However, there is very little research on whether – and how – this is enacted in practice. Based on 223 recordings of neurology outpatient consultations and participants’ subsequent self-reports, this article shows that ‘option-listing’ is a key practice for generating the perception of choice. The evidence is two-fold: first, we show that neurologists and patients overwhelmingly reported that choice was offered in those consultations where option-listing was used; second, we demonstrate how option-listing can be seen, in the interaction itself, to create a moment of choice for the patient. Surprisingly, however, we found that even when the patient resisted making the choice or the neurologist adapted the practice of option-listing in ways that sought acceptance of the neurologist's own recommendation, participants still agreed that a choice had been offered. There was only one exception: despite the use of option-listing, the patient reported having no choice, whereas the neurologist reported having offered a choice. We explore this deviant case in order to shed light on the limits of option-listing as a mechanism for generating the perception of choice.",
keywords = "Conversation analysis, doctor-patient interaction, neurology, option-listing, patient choice",
author = "Toerien, {Merran Gurney} and Markus Reuber and Roderick Duncan and Rebecca Shaw",
note = "{\circledC} 2018 Crown copyright. Sociology of Health & Illness {\circledC} 2018 Foundation for the Sociology of Health & Illness.This article is published with the permission of the Controller of HMSO and the Queen’s Printer for Scotland. 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",
year = "2018",
month = "9",
doi = "10.1111/1467-9566.12766",
language = "English",
volume = "40",
pages = "1250--1267",
journal = "Sociology of Health and Illness",
issn = "0141-9889",
publisher = "Wiley-Blackwell",
number = "7",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Generating the perception of choice

T2 - The remarkable malleability of option-listing

AU - Toerien, Merran Gurney

AU - Reuber, Markus

AU - Duncan, Roderick

AU - Shaw, Rebecca

N1 - © 2018 Crown copyright. Sociology of Health & Illness © 2018 Foundation for the Sociology of Health & Illness.This article is published with the permission of the Controller of HMSO and the Queen’s Printer for Scotland. 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

PY - 2018/9

Y1 - 2018/9

N2 - The normative view that patients should be offered more choice both within and beyond the UK's National Health Service (NHS) has been increasingly endorsed. However, there is very little research on whether – and how – this is enacted in practice. Based on 223 recordings of neurology outpatient consultations and participants’ subsequent self-reports, this article shows that ‘option-listing’ is a key practice for generating the perception of choice. The evidence is two-fold: first, we show that neurologists and patients overwhelmingly reported that choice was offered in those consultations where option-listing was used; second, we demonstrate how option-listing can be seen, in the interaction itself, to create a moment of choice for the patient. Surprisingly, however, we found that even when the patient resisted making the choice or the neurologist adapted the practice of option-listing in ways that sought acceptance of the neurologist's own recommendation, participants still agreed that a choice had been offered. There was only one exception: despite the use of option-listing, the patient reported having no choice, whereas the neurologist reported having offered a choice. We explore this deviant case in order to shed light on the limits of option-listing as a mechanism for generating the perception of choice.

AB - The normative view that patients should be offered more choice both within and beyond the UK's National Health Service (NHS) has been increasingly endorsed. However, there is very little research on whether – and how – this is enacted in practice. Based on 223 recordings of neurology outpatient consultations and participants’ subsequent self-reports, this article shows that ‘option-listing’ is a key practice for generating the perception of choice. The evidence is two-fold: first, we show that neurologists and patients overwhelmingly reported that choice was offered in those consultations where option-listing was used; second, we demonstrate how option-listing can be seen, in the interaction itself, to create a moment of choice for the patient. Surprisingly, however, we found that even when the patient resisted making the choice or the neurologist adapted the practice of option-listing in ways that sought acceptance of the neurologist's own recommendation, participants still agreed that a choice had been offered. There was only one exception: despite the use of option-listing, the patient reported having no choice, whereas the neurologist reported having offered a choice. We explore this deviant case in order to shed light on the limits of option-listing as a mechanism for generating the perception of choice.

KW - Conversation analysis

KW - doctor-patient interaction

KW - neurology

KW - option-listing

KW - patient choice

UR - http://www.scopus.com/inward/record.url?scp=85052619161&partnerID=8YFLogxK

U2 - 10.1111/1467-9566.12766

DO - 10.1111/1467-9566.12766

M3 - Article

VL - 40

SP - 1250

EP - 1267

JO - Sociology of Health and Illness

JF - Sociology of Health and Illness

SN - 0141-9889

IS - 7

ER -