Claiming or abdicating medical authority
Treatment recommendation actions, doctor-patient relationship, and antibiotic overprescription in Chinese paediatrics
Bibliographic Data
| ID | 2250317 |
|---|---|
| Authors | Nan Christine Wang (0000-0002-5293-3393, School of Public Administration Hunan University Changsha Hunan Province China, corresponding author) |
| Year | 2024 |
| Volume | 46 |
| Issue | 4 |
| Pages | 722-743 |
| Publication date | 2024-05-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Sociology of Health & Illness (JOURNAL) |
| Journal identifiers | ISSN: 0141-9889 • E-ISSN: 1467-9566 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/1467-9566.13733 |
| PMID | 38063484 |
| OpenAlex | W4389490099 |
| Language | EN |
| Citations received | 5 |
| References cited | 83 |
Antibiotic overprescription in China has long been considered a problem on the supply side, linked to the financial incentives of physicians. Based on the conversation analysis of 187 video-recorded naturally occurring medical consultations in Chinese paediatric primary care settings, this study finds that the driving force behind the problem of antibiotic overprescription in China has changed. Physicians use a low-authority communication style to recommend treatment, displaying a low level of medical authority and a willingness to accommodate caregivers' preferences in antibiotic prescribing decisions. The problem is now attributed to physician-caregiver interaction, doctor-patient relationship and the antibiotic-saturated prescribing culture. Practice implications involve deepening the understanding of the evolving nature of the antibiotic overprescription problem in China, building trust between physicians and patients/caregivers in order to facilitate the physicians' role as the gatekeeper of antibiotics and providing training programmes to help physicians develop effective communication skills
China · Conversation · Family medicine · Incentive · Medical education · MEDLINE · Antibiotic Use and Resistance · Language, Discourse, Communication Strategies · Medicine · Patient-Provider Communication in Healthcare · Psychology
Communication in Medical Care
Prescribing under Pressure
Mandarin Chinese
Presenting the Problem in Pediatric Encounters
Global burden of bacterial antimicrobial resistance in 2019
Antibiotic resistance—the need for global solutions
Parent Resistance to Physicians' Treatment Recommendations
Treatment Recommendations as Actions
Quick fix for care, productivity, hygiene and inequality
Accounting for the visit
Glossary of transcript symbols with an introduction
Sequence Organization in Interaction
Communication in Pediatric Healthcare
Transcribing for Social Research
Addressing antimicrobial resistance in China
Deontic Authority in Interaction
Epistemics in Action
The Epistemic Engine
Orientations to epistemics and deontics in treatment discussions
Arriving at no
Online commentary in acute medical visits
Introduction
Understanding antibiotic overprescribing in China
Participating in decisions about treatment
Going shopping or consulting in medical visits
The doctor-patient relationship, defensive medicine and overprescription in Chinese public hospitals
Antibiotics, rational drug use and the architecture of global health in Zimbabwe
Whose decision? Negotiating epistemic and deontic rights in medical treatment decisions
Profession of Medicine
Medical Authority under Siege
Fitting proposals to their sequential environment
Occupational Prestige in Urban China
| Unique citing works | 5 |
|---|---|
| Citations per year | 2,5 |
| Citation span | 2024 - 2026 (3) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 5 |