Toerien, M., Reuber, M. orcid.org/0000-0002-4104-6705, Shaw, R. et al. (1 more author) (2018) Generating the perception of choice: the remarkable malleability of option-listing. Sociology of Health and Illness, 40 (7). pp. 1250-1267. ISSN 0141-9889
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.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | This is the peer reviewed version of the following article: Toerien, M. , Reuber, M. , Shaw, R. and Duncan, R. (2018), Generating the perception of choice: the remarkable malleability of option‐listing. Sociol Health Illn., which has been published in final form at https://doi.org/10.1111/1467-9566.12766. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. |
Keywords: | Conversation analysis; doctor-patient interaction; neurology; option-listing; patient choice |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Sheffield Teaching Hospitals |
Funding Information: | Funder Grant number NATIONAL INSTITUTE FOR HEALTH RESEARCH 14/19/43 |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 13 Aug 2018 10:44 |
Last Modified: | 26 Aug 2020 06:58 |
Status: | Published |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1111/1467-9566.12766 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:134457 |