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- Title
Claiming or abdicating medical authority: Treatment recommendation actions, doctor‐patient relationship, and antibiotic overprescription in Chinese paediatrics.
- Authors
Wang, Nan Christine
- Abstract
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.
- Subjects
CHINA; ANTIBIOTICS; EDUCATION of physicians; INAPPROPRIATE prescribing (Medicine); PEDIATRICIANS; CONVERSATION; DECISION making in clinical medicine; PEDIATRICS; CLIENT relations; PHYSICIAN-patient relations; PHYSICIAN practice patterns; COMMUNICATION; DRUG prescribing; COMMUNICATION education; PSYCHOSOCIAL factors; CAREGIVER attitudes; CHILDREN
- Publication
Sociology of Health & Illness, 2024, Vol 46, Issue 4, p722
- ISSN
0141-9889
- Publication type
Article
- DOI
10.1111/1467-9566.13733