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Chapter 7 Negotiating Treatment Recommendations in Orthopaedic Surgery Consultations


 
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1. Title Title of document Chapter 7 Negotiating Treatment Recommendations in Orthopaedic Surgery Consultations - Communication in Surgical Practice
 
2. Creator Author's name, affiliation, country Shannon Clark; University of Canberra;
 
2. Creator Author's name, affiliation, country Pamela Hudak
 
3. Subject Discipline(s) Communication Studies; Linguistics
 
4. Subject Keyword(s) Benefits; legitimacy; pursuing acceptance; recommendation, for surgery; recommendation, not for surgery; resistance, active; resistance, passive; risks; ruling out; secondary care; treatment preferences; treatment recommendation
 
5. Subject Subject classification Sociolinguistics (CFB); Medical sociology (MBS); Medical ethics & professional conduct (MBDC)
 
6. Description Abstract Medical professionals’ areas of specialisation shape the types of problems that patients will consult them for, as well as the range of treatments patients will likely expect. However, patients do not always want the treatment that is recommended. This chapter considers how treatment decisions are negotiated in orthopaedic surgery consultations when patients resist surgeons’ recommendations. We examine factors that are interactionally brought to bear on the negotiation of treatment decisions between Canadian orthopaedic surgeons and patients, including the institutional bias towards surgery, matters of safety and risk, and patients’ medical history including length and severity of problems, and previous treatments. By examining how participants introduce, manage and resolve disagreements about treatment, this chapter sheds light on the complex interplay between orthopaedic surgeons’ medical specialisation, the institutional bias towards surgery, and patients’ expectations and treatment goals.
 
7. Publisher Organizing agency, location Equinox Publishing Ltd
 
8. Contributor Sponsor(s)
 
9. Date (YYYY-MM-DD) 15-Mar-2016
 
10. Type Status & genre Peer-reviewed Article
 
11. Type Type
 
12. Format File format PDF
 
13. Identifier Uniform Resource Identifier https://journals.equinoxpub.com/index.php/books/article/view/26409
 
14. Identifier Digital Object Identifier 10.1558/equinox.26409
 
15. Source Journal/conference title; vol., no. (year) Equinox eBooks Publishing; Communication in Surgical Practice
 
16. Language English=en en
 
18. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.) international,
contemporary
 
19. Rights Copyright and permissions Copyright 2014 Equinox Publishing Ltd