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By Earle Ashley Walcott

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On the other hand, the R family was partly a recruitment monologue from the physician but also a dialogue with the family. The R family asked questions about the experimental drug and about randomization with the possibility of a placebo: (9a) Son: Is this the pill form of chemotherapy that they were talking about? Dr S: It’s an experimental drug, that’s why it’s part of a trial right now. But you can think of it as an oral chemotherapy. Son: Right. (9b) Son: OK, do they give just the pill, or do they give one group the pill and the other group a placebo?

The patients don’t want to be randomized’ (Dr M, field notes). When asked why not, the physician answered in terms of patients not fully understanding that the question of the research is, in fact, open: ‘Certain patients don’t believe you when you say you don’t know which [treatment] is better’ (Dr M, field notes). In sum, in research recruitment, physicians believe that patients respond positively to certainty (receiving the standard treatment as the ‘best’ treatment) and negatively to uncertainty (not fully accepting that research is based on open questions).

And Anderson, T. (2003) ‘Human Factors Engineering Design Demonstrations can Enlighten your RCA Team’, Quality and Safety in Health Care, 12(2), pp. 119–21. , Murphy, E. and Dingwall, R. (2001) ‘Evaluating Medical Information Systems: Ethnomethodological and Interactionist Approaches’, Health Services Management Research, 14, pp. 181–91. Grimshaw, J. M. and Russell, I. T. (1993) ‘Effects of Clinical Guidelines on Medical Practice: a Systematic Review of Rigorous Evaluations’, Lancet, 342, pp. 1317–22.

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