Stevenson, FA;
Seguin, M;
Leydon-Hudson, G;
Barnes, R;
Ziebland, S;
Pope, C;
Murray, E;
(2021)
Combining patient talk about internet use during primary care consultations with retrospective accounts. A qualitative analysis of interactional and interview data.
Social Science & Medicine
, 272
, Article 113703. 10.1016/j.socscimed.2021.113703.
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Abstract
Despite widespread acknowledgement of internet use for information about health, patients report not disclosing use of online health information in consultations. This paper compares patients' reported use of the internet with matched video recordings of consultations. The concepts of doctorability and epistemics are employed to consider similarities and differences between patients’ reports in interviews and actions in the consultation. Data are drawn from the Harnessing Resources from the Internet study conducted in the UK. The data set consists of 281 video-recorded general practice consultations, with pre-consultation questionnaires completed by all patients, interviews with all 10 participating doctors and 28 selected patients. We focus on the 28 patient interviews and associated consultation recordings. A conversation analytic (CA) approach is used to systematically inspect both the interview and consultation data. In interviews patients presented use of the internet as associated with appropriate self-management and help-seeking. In consultations patients skilfully translated what they had found on the internet in order to provide grounds for the actions they sought. We conclude that patients translate and utilise what they have found on the internet to assert the doctorability of their presenting problems. Furthermore, patients design their talk in both interviews and consultations to accord with their understanding of the epistemic rights of both doctors and patients. Patients search the internet so they are informed about their medical problem, however they carefully manage disclosure of information to avoid disrupting the smooth running of medical interactions.
| Type: | Article |
|---|---|
| Title: | Combining patient talk about internet use during primary care consultations with retrospective accounts. A qualitative analysis of interactional and interview data |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.socscimed.2021.113703 |
| Publisher version: | https://doi.org/10.1016/j.socscimed.2021.113703 |
| Language: | English |
| Additional information: | Copyright © 2021 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
| Keywords: | Conversation analysis, Doctor-patient interaction, Internet, Interviews, Primary care, Qualitative analysis, UK, Video-recorded consultations |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10120780 |
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