Patient resistance as a resource

Candidate Obstacles in Diabetes Consultations

Dados Bibliográficos

ID2249149
AutoresJosh Barton (0000-0003-3548-9478, School of Social and Cultural Studies Victoria University of Wellington, autor correspondente), Kelsi Dew (0000-0003-3159-0413, School of Social and Cultural Studies Victoria University of Wellington), Anthony Dowell (0000-0002-5937-5398, Department of Primary Health Care and General Practice University of Otago), Nicolette Sheridan (0000-0002-8098-2918, Faculty of Medical and Health Sciences The University of Auckland), Timothy Kenealy (0000-0001-6002-4766, Faculty of Medical and Health Sciences The University of Auckland), Lindsay Macdonald (0000-0002-7380-7118, Department of Primary Health Care and General Practice University of Otago), Barbara Docherty (Faculty of Medical and Health Sciences The University of Auckland), Rachel Tester (Department of Primary Health Care and General Practice University of Otago), Deborah Raphael (0000-0002-7556-392X, University of Auckland), Debbie Raphael (Faculty of Medical and Health Sciences The University of Auckland), Lesley Gray (0000-0001-6414-3236, Department of Primary Health Care and General Practice University of Otago), Maria Stubbe (0000-0002-6661-908X, Department of Primary Health Care and General Practice University of Otago)
Ano2016
Volume38
Fascículo7
Páginas1151-1166
Data de publicação2016-09-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSociology of Health & Illness (JOURNAL)
Identificadores do periódicoISSN: 0141-9889 • E-ISSN: 1467-9566
EditoraWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.12447
PMID27260997
OpenAlexW2411554452
IdiomaEN
Citações recebidas14
Referências citadas25

This study uses conversation analysis to explore 'candidate obstacles', a practice observed in sequences of patient resistance to lifestyle advice within health professional consultations. This article presents illustrative analyses of selected data excerpts drawn from audio-visual recordings of 116 tracked consultations between health professionals and 34 patients newly diagnosed with type 2 diabetes mellitus in New Zealand. The analysis shows that in consultations where health promotion activities are central, patient resistance can provide space for patients to identify obstacles to their compliance with lifestyle advice. Identifying candidate obstacles provides opportunities for health professionals to align advice with concerns of patients and potentially improve patient outcomes

Advice (programming · Compliance (psychology · Conversation · Conversation analysis · Family medicine · Health care · Health professionals · Health promotion · Medical education · Political science · Public health · Resistance (ecology · Resource (disambiguation · Space (punctuation) · Communication · Computer Science · Discourse Analysis in Language Studies · Interpreting and Communication in Healthcare · Language, Discourse, Communication Strategies · Medicine · Nursing · Psychology · Social Psychology