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Advice, authority and autonomy in shared decision making in antenatal screening: the importance of context

Pilnick, Alison; Zayts, Olga

Authors

ALISON PILNICK alison.pilnick@nottingham.ac.uk
Professor of Language, medicine Andsociety

Olga Zayts



Abstract

Shared decision making has been widely advocated across many branches of healthcare, yet there is considerable debate over both its practical application and how it should be examined or assessed. More recent discussions of SDM have highlighted the important of context, both internal and external to the consultation, with a recognition that decisions cannot be understood in isolation. This paper uses conversation analysis (CA) to examine how decision making is enacted in the context of antenatal screening consultations in Hong Kong. Building on previous CA work (Collins et al 2005; Toerien et al 2013), we show that, whilst previously identified formats are used here to present the need for a decision, the overriding basis professionals suggest for actually making a decision in this context is the level of worry or concern a pregnant woman holds about potential fetal abnormality.

Citation

Pilnick, A., & Zayts, O. (in press). Advice, authority and autonomy in shared decision making in antenatal screening: the importance of context. Sociology of Health and Illness, 38(3), https://doi.org/10.1111/1467-9566.12346

Journal Article Type Article
Acceptance Date Mar 1, 2016
Online Publication Date Oct 5, 2016
Deposit Date Mar 14, 2016
Publicly Available Date Oct 5, 2016
Journal Sociology of Health and Illness
Print ISSN 0141-9889
Electronic ISSN 1467-9566
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 38
Issue 3
DOI https://doi.org/10.1111/1467-9566.12346
Public URL http://eprints.nottingham.ac.uk/id/eprint/32264
Publisher URL http://onlinelibrary.wiley.com/doi/10.1111/1467-9566.12346/abstract;jsessionid=2746B0538AB00C8531D43AAB94174372.f03t01
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc/4.0
Additional Information This is the peer reviewed version of the following article: Pilnick, A. and Zayts, O. (2016), Advice, authority and autonomy in shared decision-making in antenatal screening: the importance of context. Sociology of Health & Illness, 38: 343–359. doi: 10.1111/1467-9566.12346, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/1467-9566.12346/abstract;jsessionid=2746B0538AB00C8531D43AAB94174372.f03t01. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc/4.0





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