'Unilateral' and 'bilateral' practitioner approaches in decision-making about treatment

S. Collins; P. Drew; I. Watt; V. Entwistle

doi:10.1016/j.socscimed.2005.04.047

'Unilateral' and 'bilateral' practitioner approaches in decision-making about treatment

S. Collins, P. Drew, I. Watt, V. Entwistle

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

Abstract

Practitioners can present and discuss decisions about the management of health problems in a variety of ways during consultations. This paper examines in detail how doctors talk with patients in relation to decision-making about treatment. Conversation analyses of decision-making sequences in consultations about diabetes in primary care and about treatment of ear nose and throat (ENT) cancer in a specialist oncology setting, both in the UK, revealed a spectrum of practitioner approaches ranging from more 'bilateral' to more 'unilateral'. This paper identifies the key communicative and organisational features of these approaches and provides some preliminary observations about the implications of these for patient participation in decision-making. (c) 2005 Elsevier Ltd. All rights reserved.

Original language	English
Pages (from-to)	2611-2627
Number of pages	17
Journal	Social Science & Medicine
Volume	61
Issue number	12
DOIs	https://doi.org/10.1016/j.socscimed.2005.04.047
Publication status	Published - Dec 2005

Keywords

doctor-patient consultations
decision-making
conversation analysis
patient participation
United Kingdom
PATIENTS PARTICIPATION
GENERAL-PRACTICE
PHYSICIANS

Access to Document

10.1016/j.socscimed.2005.04.047

http://dx.doi.org/10.1016/j.socscimed.2005.04.047

Cite this

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title = "'Unilateral' and 'bilateral' practitioner approaches in decision-making about treatment",

abstract = "Practitioners can present and discuss decisions about the management of health problems in a variety of ways during consultations. This paper examines in detail how doctors talk with patients in relation to decision-making about treatment. Conversation analyses of decision-making sequences in consultations about diabetes in primary care and about treatment of ear nose and throat (ENT) cancer in a specialist oncology setting, both in the UK, revealed a spectrum of practitioner approaches ranging from more 'bilateral' to more 'unilateral'. This paper identifies the key communicative and organisational features of these approaches and provides some preliminary observations about the implications of these for patient participation in decision-making. (c) 2005 Elsevier Ltd. All rights reserved.",

keywords = "doctor-patient consultations, decision-making, conversation analysis, patient participation, United Kingdom, PATIENTS PARTICIPATION, GENERAL-PRACTICE, PHYSICIANS",

author = "S. Collins and P. Drew and I. Watt and V. Entwistle",

year = "2005",

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AU - Drew, P.

AU - Watt, I.

AU - Entwistle, V.

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AB - Practitioners can present and discuss decisions about the management of health problems in a variety of ways during consultations. This paper examines in detail how doctors talk with patients in relation to decision-making about treatment. Conversation analyses of decision-making sequences in consultations about diabetes in primary care and about treatment of ear nose and throat (ENT) cancer in a specialist oncology setting, both in the UK, revealed a spectrum of practitioner approaches ranging from more 'bilateral' to more 'unilateral'. This paper identifies the key communicative and organisational features of these approaches and provides some preliminary observations about the implications of these for patient participation in decision-making. (c) 2005 Elsevier Ltd. All rights reserved.

KW - doctor-patient consultations

KW - decision-making

KW - conversation analysis

KW - patient participation

KW - United Kingdom

KW - PATIENTS PARTICIPATION

KW - GENERAL-PRACTICE

KW - PHYSICIANS

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DO - 10.1016/j.socscimed.2005.04.047

M3 - Article

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SP - 2611

EP - 2627

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SN - 0277-9536

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