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General Practitioner use of online resources during medical visits: Managing the boundary between inside and outside the clinic

General Practitioner use of online resources during medical visits: Managing the boundary between inside and outside the clinic
General Practitioner use of online resources during medical visits: Managing the boundary between inside and outside the clinic
In an increasingly connected world, information about health can be exchanged at any time, in any location or direction, and is no longer dominated by traditional authoritative sources. We consider the ways information and advice given in consultations by doctors transcends the boundary between the clinic and the home. We explore how information that is widely accessible outside the consultation is transformed by General Practitioners (GPs) into a medical offering. Data comprise 18 consultations identified from 144 consultations between unselected patients and five GPs. We use conversation analytic methods to explore four ways in which GPs used online resources; (i) to check information; (ii) as an explanatory tool; (iii) to provide information for patients for outside the consultation; (iv) to signpost further explanation and self‐help. We demonstrate the interactional delicacy with which resources from the Internet are introduced and discussed, developing and extending Nettleton's (2004) idea of ‘e‐scaped medicine’ to argue that Internet resources may be ‘recaptured’ by GPs, with information transformed and translated into a medical offering so as to maintain the asymmetry between patients and practitioners necessary for the successful functioning of medical practice.
0141-9889
65-81
Stevenson, Fiona
881eb2a9-d7a8-449d-be50-ead6fda5cd3e
Pope, Catherine
21ae1290-0838-4245-adcf-6f901a0d4607
et al.
Stevenson, Fiona
881eb2a9-d7a8-449d-be50-ead6fda5cd3e
Pope, Catherine
21ae1290-0838-4245-adcf-6f901a0d4607

Stevenson, Fiona , et al. (2019) General Practitioner use of online resources during medical visits: Managing the boundary between inside and outside the clinic. Sociology of Health and Illness, 65-81. (doi:10.1111/1467-9566.12833).

Record type: Article

Abstract

In an increasingly connected world, information about health can be exchanged at any time, in any location or direction, and is no longer dominated by traditional authoritative sources. We consider the ways information and advice given in consultations by doctors transcends the boundary between the clinic and the home. We explore how information that is widely accessible outside the consultation is transformed by General Practitioners (GPs) into a medical offering. Data comprise 18 consultations identified from 144 consultations between unselected patients and five GPs. We use conversation analytic methods to explore four ways in which GPs used online resources; (i) to check information; (ii) as an explanatory tool; (iii) to provide information for patients for outside the consultation; (iv) to signpost further explanation and self‐help. We demonstrate the interactional delicacy with which resources from the Internet are introduced and discussed, developing and extending Nettleton's (2004) idea of ‘e‐scaped medicine’ to argue that Internet resources may be ‘recaptured’ by GPs, with information transformed and translated into a medical offering so as to maintain the asymmetry between patients and practitioners necessary for the successful functioning of medical practice.

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General Practitioner use of online resources during medical visits: Managing the boundary between inside and outside the clinic - Accepted Manuscript
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Accepted/In Press date: 27 September 2018
e-pub ahead of print date: 10 October 2019
Published date: October 2019

Identifiers

Local EPrints ID: 424112
URI: http://eprints.soton.ac.uk/id/eprint/424112
ISSN: 0141-9889
PURE UUID: bce4f8d5-7d95-4fac-9460-369cfc491235
ORCID for Catherine Pope: ORCID iD orcid.org/0000-0002-8935-6702

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Date deposited: 04 Oct 2018 16:30
Last modified: 28 Apr 2022 04:09

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Contributors

Author: Fiona Stevenson
Author: Catherine Pope ORCID iD
Corporate Author: et al.

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