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

Collins, S., Drew, P., Watt, I. and Entwistle, V. (2005) 'Unilateral' and 'bilateral' practitioner approaches in decision-making about treatment. Social Science & Medicine, 61 (12). pp. 2611-2627. ISSN 0277-9536

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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.

Item Type: Article
Institution: The University of York
Academic Units: The University of York > Health Sciences (York)
Depositing User: York RAE Import
Date Deposited: 12 Feb 2009 15:09
Last Modified: 12 Feb 2009 15:09
Published Version: http://dx.doi.org/10.1016/j.socscimed.2005.04.047
Status: Published
Publisher: Elsevier Science B.V., Amsterdam.
Identification Number: 10.1016/j.socscimed.2005.04.047
URI: http://eprints.whiterose.ac.uk/id/eprint/7519

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