Doctor Patient Interaction in a Randomised Controlled Trial of Decision Support Tools  

Oleh:

Rapley, Tim ; May, Carl ; Heaven, Ben ; Murtagh, Madeline ; Graham, Ruth ; Kaner, Eileen F.S. ; Thomson, Richard

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 9 (May 2006), page 2267-2278.
Topik: INTERACTION; UK; doctor patient interaction; decision support tools; primary care; randomised controlled trials; video based ethnography

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.3 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

In this paper, we draw on the analytic perspectives of ethnomethodology to explore doctor patient encounters in an experimental trial of a complex intervention, an efficacy trandomised controlled trial (RCT) of decision support tools in the UK. We show how the experimental context in which these encounters that we observed : i. the ceremonial order of the consultation and ii. the assemblage of the decision support tool trial. We demonstrate how doctors in the trial oscillate between positions as authoritative clinician and neutralistic decision support tool implementer, and patients move between positions as passive recipients of clinical knowledge and as active subjects reqired to render their experience as calculable in terms of the demands of the decision support tools and the broader trial they are embedded in. We demonstrate how the RCT coordinates the world of the clinical environment and the world of experimental evidence.

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