‘So just to go through the options…’: patient choice in the telephone delivery of the NHS Improving Access to Psychological Therapies servicesCitation formats

  • External authors:
  • Annie Irvine
  • Paul A. Drew
  • Kerry Ardern
  • Michael Barkham
  • Helen Brooks
  • Janice Connell
  • Charlotte Welsh
  • Penny Bee

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‘So just to go through the options…’: patient choice in the telephone delivery of the NHS Improving Access to Psychological Therapies services. / Irvine, Annie; Drew, Paul A.; Bower, Peter; Ardern, Kerry; Armitage, C J; Barkham, Michael ; Brooks, Helen; Connell, Janice; Faija, Cintia; Gellatly, Judith; Rushton, Kelly; Welsh, Charlotte; Bee, Penny.

In: Sociology of Health and Illness, 22.09.2020.

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Author

Irvine, Annie ; Drew, Paul A. ; Bower, Peter ; Ardern, Kerry ; Armitage, C J ; Barkham, Michael ; Brooks, Helen ; Connell, Janice ; Faija, Cintia ; Gellatly, Judith ; Rushton, Kelly ; Welsh, Charlotte ; Bee, Penny. / ‘So just to go through the options…’: patient choice in the telephone delivery of the NHS Improving Access to Psychological Therapies services. In: Sociology of Health and Illness. 2020.

Bibtex

@article{e04933d0b16440559912e2de2d855837,
title = "{\textquoteleft}So just to go through the options…{\textquoteright}: patient choice in the telephone delivery of the NHS Improving Access to Psychological Therapies services",
abstract = "This article considers patient choice in mental healthcare services, specifically the ways that choice is enabled or constrained in patient–practitioner spoken interaction. Using the method of conversation analysis (CA), we examine the language used by practitioners when presenting treatment delivery options to patients entering the NHS Improving Access to Psychological Therapies (IAPT) service. Analysis of 66 recordings of telephone‐delivered IAPT assessment sessions revealed three patterns through which choice of treatment delivery mode was presented to patients: presenting a single delivery mode; incrementally presenting alternative delivery modes, in response to patient resistance; and parallel presentation of multiple delivery mode options. We show that a distinction should be made between (i) a choice to accept or reject the offer of a single option and (ii) a choice that is a selection from a range of options. We show that the three patterns identified are ordered in terms of patient‐centredness and shared decision‐making. Our findings contribute to sociological work on healthcare interactions that has identified variability in, and variable consequences for, the ways that patients and practitioners negotiate choice and shared decision‐making. Findings are discussed in relation to tensions between the political ideology of patient choice and practical service delivery constraints.",
keywords = "Doctor-patient communication/interaction, Telemedicine, Psychotherapy, mental health services, patient-centredness, Shared decision making",
author = "Annie Irvine and Drew, {Paul A.} and Peter Bower and Kerry Ardern and Armitage, {C J} and Michael Barkham and Helen Brooks and Janice Connell and Cintia Faija and Judith Gellatly and Kelly Rushton and Charlotte Welsh and Penny Bee",
year = "2020",
month = sep,
day = "22",
doi = "10.1111/1467-9566.13182",
language = "English",
journal = "Sociology of Health and Illness",
issn = "0141-9889",
publisher = "John Wiley & Sons Ltd",

}

RIS

TY - JOUR

T1 - ‘So just to go through the options…’: patient choice in the telephone delivery of the NHS Improving Access to Psychological Therapies services

AU - Irvine, Annie

AU - Drew, Paul A.

AU - Bower, Peter

AU - Ardern, Kerry

AU - Armitage, C J

AU - Barkham, Michael

AU - Brooks, Helen

AU - Connell, Janice

AU - Faija, Cintia

AU - Gellatly, Judith

AU - Rushton, Kelly

AU - Welsh, Charlotte

AU - Bee, Penny

PY - 2020/9/22

Y1 - 2020/9/22

N2 - This article considers patient choice in mental healthcare services, specifically the ways that choice is enabled or constrained in patient–practitioner spoken interaction. Using the method of conversation analysis (CA), we examine the language used by practitioners when presenting treatment delivery options to patients entering the NHS Improving Access to Psychological Therapies (IAPT) service. Analysis of 66 recordings of telephone‐delivered IAPT assessment sessions revealed three patterns through which choice of treatment delivery mode was presented to patients: presenting a single delivery mode; incrementally presenting alternative delivery modes, in response to patient resistance; and parallel presentation of multiple delivery mode options. We show that a distinction should be made between (i) a choice to accept or reject the offer of a single option and (ii) a choice that is a selection from a range of options. We show that the three patterns identified are ordered in terms of patient‐centredness and shared decision‐making. Our findings contribute to sociological work on healthcare interactions that has identified variability in, and variable consequences for, the ways that patients and practitioners negotiate choice and shared decision‐making. Findings are discussed in relation to tensions between the political ideology of patient choice and practical service delivery constraints.

AB - This article considers patient choice in mental healthcare services, specifically the ways that choice is enabled or constrained in patient–practitioner spoken interaction. Using the method of conversation analysis (CA), we examine the language used by practitioners when presenting treatment delivery options to patients entering the NHS Improving Access to Psychological Therapies (IAPT) service. Analysis of 66 recordings of telephone‐delivered IAPT assessment sessions revealed three patterns through which choice of treatment delivery mode was presented to patients: presenting a single delivery mode; incrementally presenting alternative delivery modes, in response to patient resistance; and parallel presentation of multiple delivery mode options. We show that a distinction should be made between (i) a choice to accept or reject the offer of a single option and (ii) a choice that is a selection from a range of options. We show that the three patterns identified are ordered in terms of patient‐centredness and shared decision‐making. Our findings contribute to sociological work on healthcare interactions that has identified variability in, and variable consequences for, the ways that patients and practitioners negotiate choice and shared decision‐making. Findings are discussed in relation to tensions between the political ideology of patient choice and practical service delivery constraints.

KW - Doctor-patient communication/interaction

KW - Telemedicine

KW - Psychotherapy

KW - mental health services

KW - patient-centredness

KW - Shared decision making

U2 - 10.1111/1467-9566.13182

DO - 10.1111/1467-9566.13182

M3 - Article

JO - Sociology of Health and Illness

JF - Sociology of Health and Illness

SN - 0141-9889

ER -