コンコーダンシング:医療コミュニケーションにおける言語ベースの研究の活用
1Department of Primary Care and General Practice, University of Birmingham, Edgbaston, UK. j.r.skelton@bham.ac.uk
Lancet (London, England)
|February 19, 1999
まとめ
コンピューターコンコンダンスにより,医師はジャーゴンを避け,パワー言語を使用する可能性があることが明らかになった. 医師は,感情と安心感を用い,診察で言語の治療的使用を示しています.
科学分野:
- 医学コミュニケーションにおける言語分析.
- 医療の相互作用に適用された計算言語学.
背景:
- 既存の医療コミュニケーションの研究は,主に質的,観察的研究を使用しています.
- 医者と患者の相談を分析するための言語学的ツールであるコンピュータコンコンダントの新規アプリケーション.
- コンピュータコンコンダントは,定量的な言語分析と質的な言語分析の両方を可能にします.
研究 の 目的:
- コンピュータコンコンダンスを用いて医師と患者のコミュニケーションを分析する.
- 医療専門用語,パワーダイナミクス,およびプライマリケアでの脅威を軽減する言語の使用を調査する.
主な方法:
- 373件のプライマリケア診療の40人の医師とその患者の言語分析.
- 医師のジャーゴンの使用の検討.
- 社会的権力と関連する言語の評価とその欠如.
- 患者の不安や病気の脅威を軽減するための言語戦略の特定.
主要な成果:
- 医学的用語を使用した医師の証拠は見つかりませんでした.
- 社会的力に関連した言語は,一部の医師によって使用され,力の欠如を示す言語は,一部の患者によって使用されました.
- 医師は,感情を表現するために,脅威を軽減するために (例えば,縮小用語を使用する) 言語を頻繁に使用し,患者を安心させました.
結論:
- コンピューターコンコンダントは,医療相談を研究するための貴重な方法です.
- 医師は専門用語は避けますが,患者の理解は保証されません.
- 権力に関連する言語の使用は,協議が理想よりも民主的でないことを示している可能性があります.
- 感情的および脅威を軽減する言語の使用は,治療的目的に役立つ,プライマリケアコミュニケーションの重要な側面です.
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