The Social Nature of Antibiotic Overprescription in China
Medical Conversations, DoctorâPatient Relationships, and Decision-Making
- 146 pages
- English
- ePUB (mobile friendly)
- Available on iOS & Android
The Social Nature of Antibiotic Overprescription in China
Medical Conversations, DoctorâPatient Relationships, and Decision-Making
About this book
Offering a rarely seen glimpse into the realities of one of the biggest global public health crises in modern time, Wang's book focuses on doctorâpatient interactions in China to demonstrate the potential effects of health communication, doctorâpatient relationship, and a matrix of social factors on overprescription of antibiotics.
Based on a community-based survey, the book describes empirical findings regarding the high prevalence of non-prescribed antibiotics use for common colds among children in China. It covers the potential effects of overprescription on caregivers' attitudes and how physicians make prescribing decisions in medical consultations. Drawing from evidence in medical interaction data, readers are introduced to further empirical findings regarding the communicative behaviors that patient caregivers use to pressure for antibiotic prescriptions in real medical consultations. Following this, Wang reports findings regarding the communicative behaviors that physicians use to make treatment recommendations and caregivers use to launch treatment negotiations, leading to a discussion of the effect of the doctorâpatient relationship on antibiotic overprescription. The book culminates in practice recommendations and provides teaching scenarios in which physicians successfully engage the caregivers into conversations to shape their expectations for antibiotic prescriptions in medical consultations.
An important resource for scholars and students in health communication, linguistics, medical humanities, and medical sociology. Practitioners who are interested in understanding and improving clinical practices as well as policymakers aiming to combat antibiotic resistance will also find this book useful.
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Information
Table of contents
- Cover
- Half Title
- Series
- Title
- Copyright
- Contents
- Acknowledgment
- 1 Introduction
- 2 Historical and institutional factors of antibiotic overprescription in China
- 3 Outside the medical visit: Pre-visit use of non-prescribed antibiotics, desires for antibiotic prescriptions, and association with antibiotic prescriptions in medical visits
- 4 Caregiversâ role in prescribing decision: Overt advocacy and interactional pressure in medical visits
- 5 Doctorsâ role in prescribing decision: Treatment recommendation actions and medical authority in medical visits
- 6 Dueling in medical interaction: Caregiversâ resistance to doctorsâ treatment recommendations
- 7 Conclusion
- Appendix: Notes on medical interaction data and conversation analysis
- Index