| Presenting the problem in pediatric encounters: "symptoms only" versus "candidate diagnosis" presentations. | |
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MedLine Citation:
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PMID: 12186491 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This article examines 2 practices that are used to present children's problems to their pediatricians in acute care encounters. Using the methodology of conversation analysis, this article examines the alternative stances embodied by problem presentations, which offer "symptoms only" versus problem presentations, which also include a "candidate diagnosis." This article suggests that parents who offer only symptoms in their problem presentations are hearable as adopting a stance that they are primarily seeking medical evaluations of their children. By contrast, a parent who includes a candidate diagnosis of the problem is hearable as adopting a stance that he or she is seeking confirmation of the diagnosis and treatment for that illness condition. This communication practice may be treated by physicians as placing pressure on them to prescribe treatment-in particular antibiotic treatment. The implications of this are discussed. |
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Authors:
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Tanya Stivers |
Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Health communication Volume: 14 ISSN: 1041-0236 ISO Abbreviation: Health Commun Publication Date: 2002 |
Date Detail:
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Created Date: 2002-08-20 Completed Date: 2002-09-17 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 8908762 Medline TA: Health Commun Country: United States |
Other Details:
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Languages: eng Pagination: 299-338 Citation Subset: IM |
Affiliation:
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Department of Pediatrics-General Pediatrics, University of California at Los Angeles, 90095-1752, USA. tstivers@ucla.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Child Communication* Diagnosis* Humans Parents / psychology* Pediatrics* Physician-Patient Relations* United States |
| Grant Support | |
ID/Acronym/Agency:
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R03 HS10577-01/HS/AHRQ HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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