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dc.contributor.authorLian, Olaug S.
dc.contributor.authorNettleton, Sarah
dc.contributor.authorGrange, Huw Robert
dc.contributor.authorDowrick, Christopher
dc.date.accessioned2023-04-17T06:10:59Z
dc.date.available2023-04-17T06:10:59Z
dc.date.issued2023-03-30
dc.description.abstractThe main objective of this study is to gain knowledge about interactional factors that support and obstruct mutual risk-assessments and shared decision-making (SDM) in clinical consultations. Through a narrative analysis of verbatim tran- scripts of 28 naturally occurring consultations performed in English National Health Service practices, we explore the ways in which patients and general practitioners conceptualise, construct and negotiate risks related to diagnostic tests and medical treatments. Consultations were sampled from a corpus of 212 consultation transcripts from the One in a Million: Primary care consultations archive on the basis that they contained the word ‘risk(s)’. Most sampled cases relate to cardiovascular conditions and cancer. Drawing on a social constructionist perspective and the relational theory of risk, we found that while GPs talked about mathematical-probabilistic population risk, patients expressed their own experiences of possible future dangers, conceptualised through words like ‘worried’, ‘scared’ and ‘concerned’. Risk objects, defined here as entities to which harmful consequences are conceptually attached, were constructed differently by patients and GPs, especially in relation to cardiovascular risks. Their different rationalities sometimes obstructed any form of mutual risk-assessments. The relational theory of risk proved to be a useful theoretical frame for exploring layers and configurations of risk constructions among patients and clinicians, and for capturing interactional factors that support and obstruct mutual risk-assessments and SDM. For patients to be able to engage in genuine dialogues and make informed decisions about their care, it is paramount for patients and doctors to co-construct patients’ health-risks during clinical encounters.en_US
dc.identifier.citationLian, Nettleton, Grange, Dowrick. ‘I’d best take out life insurance, then.’ Conceptualisations of risk and uncertainty in primary care consultations, and implications for shared decision-making. Health, Risk and Society. 2023en_US
dc.identifier.cristinIDFRIDAID 2138764
dc.identifier.doi10.1080/13698575.2023.2197780
dc.identifier.issn1369-8575
dc.identifier.issn1469-8331
dc.identifier.urihttps://hdl.handle.net/10037/28991
dc.language.isoengen_US
dc.publisherTaylor & Francisen_US
dc.relation.journalHealth, Risk and Society
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.subjectVDP::Samfunnsvitenskap: 200::Sosiologi: 220en_US
dc.subjectVDP::Social sciences: 200::Sociology: 220en_US
dc.title‘I’d best take out life insurance, then.’ Conceptualisations of risk and uncertainty in primary care consultations, and implications for shared decision-makingen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Except where otherwise noted, this item's license is described as Attribution 4.0 International (CC BY 4.0)