Titre :
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unilateral'and'bilateral'practitioner approaches in decision-making about treatment. (2005)
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Auteurs :
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Sarah COLLINS ;
Paul DREW ;
ENTWISTLE (Vikki) : GBR. Health Services Research Unit. University of Aberdeen. Polwarth Building. Foresterhill. ;
Ian WATT ;
University of York. Department of Health Sciences and Hull York Medical School. York. GBR ;
University of York. Department of Sociology. Heslington. York. GBR
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Type de document :
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Article
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Dans :
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Social science and medicine (vol. 61, n° 12, 2005)
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Pagination :
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2611-2627
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Langues:
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Anglais
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Mots-clés :
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Médecin généraliste
;
Thérapeutique
;
Aide décision
;
Relation médecin malade
;
Consultation
;
Homme
;
Malade
;
Participation
;
Royaume Uni
;
Europe
;
Europe sociale
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Résumé :
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[BDSP. Notice produite par INIST-CNRS e33k6R0x. Diffusion soumise à autorisation]. 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.
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