How surgeons design treatment recommendations in orthopaedic surgery

摘要: Abstract This paper examines how orthopaedic surgeons skilfully design treatment recommendations to display awareness of what individual patients are anticipating or seeking, and suggests limits those efforts. It adds leverage our parallel work by demonstrating that even when incorporate considerations recipient ‘fit’ patients’ displayed orientations, an asymmetry between for vs. not surgery remains: generally proposed early, in relatively simple unmitigated form, as stand-alone options. In contrast, tend be significantly more complex: they likely delayed, conveyed indirectly, mitigated justified, include other possible These findings suggest a tension surgeons’ efforts specific recipients overarching institutional bias favoring surgery. Surgeons’ anticipate respond resistance demonstrate similar pattern: the methods used counter patient resistance, sequential placement efforts, depends on whether recommendation is another option. contributes understanding showing co-implicated their accomplishment: because response information provided explicitly tacitly patients, influence rendering from beginning.