Toggle Main Menu Toggle Search

Open Access padlockePrints

Verbal prescribing in general practice consultations

Lookup NU author(s): Dr Neil Jenkings, Professor Rob Wilson, Professor Ian Purves

Downloads

Full text for this publication is not currently held within this repository. Alternative links are provided below where available.


Abstract

This paper looks at aspects of doctor-patient communication and focuses on how prescribing decisions fit into the consultation within the context of the use (and non-use) of a technological clinical decision support system (CDSS) in the UK. Analysis of 6 simulated consultations filmed as part of the evaluation of a CDSS system indicated that the general practitioners (GPs) used their computers for a short time during consultations. The data showed that doctors' utterances, occurring at an early stage of the consultations, signalled the prescribing decision and eventual outcome of the consultation. The concept of 'verbal prescriptions' is used to describe these utterances of the GPs, and facilitates an understanding of how prescribing decisions are routinely achieved. Prescribing decisions can occur in the relatively early stages of the consultation, and both prior to and independently of the CDSS. Consequently, we suggest that the pattern of GP decision-making needs to be taken into account in CDSS design. However, this is not just an issue for CDSS design and implementation, as the verbal prescription phenomenon may impact upon patient involvement in decision-making, and even the appropriate use of evidence based medicine. © 2006 Elsevier Ltd. All rights reserved.


Publication metadata

Author(s): Gibson M, Jenkings KN, Wilson RG, Purves IN

Publication type: Article

Publication status: Published

Journal: Social Science and Medicine

Year: 2006

Volume: 63

Issue: 6

Pages: 1684-1698

Print publication date: 01/09/2006

ISSN (print): 0277-9536

ISSN (electronic): 1873-5347

URL: http://dx.doi.org/10.1016/j.socscimed.2006.03.021

DOI: 10.1016/j.socscimed.2006.03.021


Altmetrics

Altmetrics provided by Altmetric


Actions

Find at Newcastle University icon    Link to this publication


Share