协调:在医学沟通中使用基于语言的研究
1Department of Primary Care and General Practice, University of Birmingham, Edgbaston, UK. j.r.skelton@bham.ac.uk
Lancet (London, England)
|February 19, 1999
概括
计算机对应显示医生避免术语,但可能使用权力语言. 医生使用情感和保证,在咨询中显示语言的治疗性使用.
科学领域:
- 医学沟通中的语言分析.
- 计算语言学应用于医疗保健互动.
背景情况:
- 现有的医学传播研究主要使用定性,观察性研究.
- 计算机对应的新应用,一种语言工具,用于分析医生与患者的咨询.
- 计算机对应使得定量和定性语言分析成为可能.
研究的目的:
- 分析医生与患者之间的沟通,使用计算机对应.
- 调查在初级保健咨询中使用医学术语,权力动态和降低威胁的语言.
主要方法:
- 在373个初级保健咨询中分析了40名医生及其患者的语言.
- 检查医生使用术语的情况.
- 评估与社会权力和其缺乏相关的语言.
- 识别语言策略,以减轻患者的焦虑和感知到疾病的威胁.
主要成果:
- 没有发现医生使用医学术语的证据.
- 一些医生使用与社会权力相关的语言,一些患者使用表明缺乏权力的语言.
- 医生经常使用语言来表达情绪,减少威胁 (例如,使用缩小术语),并安慰患者.
结论:
- 计算机对照是研究医疗咨询的一个有价值的方法.
- 虽然医生避免用术语,但不能保证患者的理解.
- 使用与权力相关的语言可能表明协商的民主程度不如理想.
- 使用情感和减少威胁的语言是初级保健沟通的一个重要方面,服务于治疗目的.
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