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Cited by 134Complementary and Alternative Medicine StudiesPatient-Provider Communication in HealthcareMigration, Identity, and Health

The DOI matches its Crossref record; 63 of the 65 references it cites were found in a registry or an index.

Self-treatment and its discussion in medical consultations: how is medical pluralism managed in practice?

Stevenson, Fiona A., Britten, Nicky, Barry, Christine A., Bradley, Colin P., Barber, Nick·2003·Social Science & Medicine
DOI 10.1016/s0277-9536(02)00377-5
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Abstract

Recent policy changes in the UK such as deregulation of prescribed medicines and the introduction of telephone helpline services are intended to promote self-treatment. Drawing on interviews with, and consultations between, 35 patients and 20 general practitioners, we use Kleinman's (Patients and Healers in the context of culture: an exploration of the Borderland between Anthropology, Medicine and Psychiatry, University of California Press Ltd., London) model of the three sectors of health care in order to examine the range of self-treatments people use and the discussion of these treatments in medical consultations. We argue that despite the availability of a range of treatment options and policy changes advocating greater use of self-treatment, patients are inhibited from disclosing prior self-treatment, and disclosure is affected by patients' perceptions of the legitimacy of self-treatment. The findings are in keeping with Cant and Sharma's (A New Medical Pluralism, Alternative Medicines, Doctors, Patients and the State, UCL Press, London) contention that although there has been a pluralisation of "legitimate" providers of health care and a restructuring of expertise, biomedicine itself remains dominant.

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Crossref · 10.1016/s0277-9536(02)00377-5

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Metadata

Authors
Stevenson, F. A., Britten, N., Barry, C. A., Bradley, C. P., & Barber, N.
Affiliations
  • King's College London (GB)
  • Brunel University of London (GB)
  • University College Cork (IE)
  • University of London (GB)
Corresponding author
Stevenson, Fiona A.
ORCID
Venue
Social Science & Medicine
Publisher
Elsevier BV
Published
2003-08
Volume
57
Issue
3
Pages
513-527
ISSN
0277-9536 (ISSN-L)
DOI
10.1016/s0277-9536(02)00377-5
OpenAlex
W1980004891
Cited by
134
References
65
Citations by year
2026: 4 · 2024: 5 · 2023: 2 · 2022: 2 · 2021: 5 · 2020: 3 · 2019: 6 · 2018: 4 · 2017: 10 · 2016: 3 · 2015: 2 · 2014: 5 · 2013: 5 · 2012: 12
FWCI
27.10
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Social Science & Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Topics
  • Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Social Sciences › Sociology and Political Science › Migration, Identity, and Health
Keywords
self-medication, medical pluralism, medical consultation, general practitioners, complementary and alternative medicine, patient-physician communication
MeSH terms
Complementary Therapies, Attitude of Health Personnel, Culture, Nonprescription Drugs, England, Family Practice, Humans, Patient Acceptance of Health Care, Physician-Patient Relations, Referral and Consultation, Self Care, Self Disclosure, Self Medication, Sociology, Medical, State Medicine, Health Care Sector

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