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

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Stevenson, F. A., Hall, L., Seguin, M., Atherton, Helen, Barnes, R., Leydon, G., Murray, E., Pope, C. and Ziebland, S. (2019) General Practitioner use of online resources during medical visits : managing the boundary between inside and outside the clinic. Sociology of Health and Illness, 41 (S1). pp. 65-81. doi:10.1111/1467-9566.12833 ISSN 0141-9889.

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Official URL: https://doi.org/10.1111/1467-9566.12833

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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.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH)
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Sociology of Health and Illness
Publisher: Wiley-Blackwell Publishing Ltd.
ISSN: 0141-9889
Official Date: 2019
Dates:
DateEvent
2019Published
10 October 2019Available
26 October 2018Accepted
Volume: 41
Number: S1
Page Range: pp. 65-81
DOI: 10.1111/1467-9566.12833
Status: Peer Reviewed
Publication Status: Published
Reuse Statement (publisher, data, author rights): "This is the peer reviewed version of the following article: Stevenson, F. , Hall, L. , Seguin, M. , Atherton, H. , Barnes, R. , Leydon, G. , Pope, C. , Murray, E. and Ziebland, S. (2019), General Practitioner's use of online resources during medical visits: managing the boundary between inside and outside the clinic. Sociol Health Illn, 41: 65-81. doi:10.1111/1467-9566.12833., which has been published in final form at https://doi.org/10.1111/1467-9566.12833. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions."
Access rights to Published version: Open Access (Creative Commons)
Description:

Chapter 5. Special Issue: Digital Health: Sociological Perspectives.

Date of first compliant deposit: 2 October 2018
Date of first compliant Open Access: 10 October 2020
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