"愛してくれる人がたくさんいるのに なぜ麻薬中毒者だと言うの?" ":薬物使用者を表す言葉に関する臨床医と患者の見解
Gayathri Sundaram1, Taisuke Sato2,3, Brindet Socrates4,5
1Tufts University School of Medicine, Boston, MA, USA. gayathri.sundaram@tufts.edu.
Addiction science & clinical practice
|September 2, 2025
まとめ
臨床医
科学分野:
- 医学社会学
- 健康に関するコミュニケーション
- 実施科学
背景:
- 薬物使用者に対する恥辱と偏見を 永続させることができるのです
- 人を第一に考える言語は この汚名を和らげる戦略です
- PWUDは医療環境で重大な汚名を経験しています.
研究 の 目的:
- PWUDのケアにおける 汚名を伴う言葉の使い方を調べる
- 臨床医と患者の第一人者言語の認識を評価する.
- 臨床実務における"人第一の言語"の導入における障壁を特定する.
主な方法:
- タフツ医療センターの 臨床医とPWUDとの 構造化された面接
- コンソリデッド・フレームワーク・フォー・インプレメンテーション・リサーチ (CFIR) 2.0を用いて作成されたインタビューガイド.
- コード化されたインタビューデータの誘導的テーマ分析 (ITA)
主要な成果:
- ほとんどの臨床医と患者は 医療における言語の重要性を認識しています
- 参加者の何人かは,第一人称の言語が不必要なか,または多言語であると考えました.
- 主な障壁は 意識の欠如,訓練の欠如,世代間の違いの認識でした.
結論:
- PWUDのバイアスを減らすために 臨床医の言葉の改善が不可欠です
- アクセシブルな医療図は 臨床医の言葉選択の重要性を高めます
- 医療従事者が"人第一の言語"を身につけられるよう ターゲットに絞った教育とリソースが必要です
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