健康准备和叙事理性:呼吁叙事准备
Eivind Engebretsen1, Mona Baker1
1Centre for Sustainable Healthcare Education, Faculty of Medicine, University of Oslo, Oslo, Norway.
International journal of health policy and management
|August 14, 2023
概括
叙事准备 - - 了解人们的故事和他们的价值观 - - 对于有效的健康沟通至关重要. 与科学事实一起参与叙事理性,可以改善公共卫生干预和流行病准备.
科学领域:
- 公共卫生 公共卫生
- 卫生传播健康传播
- 医学社会学 医学社会学
背景情况:
- 患者为中心的护理理想有时无法实现,因为医学中的科学理性努力纳入患者的叙述.
- 传统的健康准备模式可能会忽视理解各种公共信仰和价值观的重要性.
- 有效的健康沟通需要承认个人的"叙述理性",即使它与科学共识分歧.
研究的目的:
- 引入和定义"叙述准备"作为健康沟通的重要组成部分.
- 展示叙述准备在应对公共卫生挑战时的实用性,使用COVID-19应对作为案例研究.
- 扩展费舍尔的叙事范式,以提高对与健康有关的公共话语的理解.
主要方法:
- 叙事准备的概念分析及其理论基础.
- 应用费舍尔的叙事范式来分析公众对健康问题的反应.
- 对COVID-19话语的案例研究分析,包括疫苗犹和反疫苗的情绪.
主要成果:
- 叙事准备通过评价塑造个人健康信仰的故事和价值观来补充科学理性.
- 叙事范式为评估不同群体如何理解和评估健康信息提供了一个框架.
- 了解叙事理性是减轻公共卫生沟通中阻力和误解的关键.
结论:
- 卫生当局必须参与公众叙述和其背后的原因,以改善卫生政策.
- 有效的卫生干预不仅取决于事实准确性,还取决于这些事实如何被公众感知和理解.
- 未来的流行病准备要求卫生专业人员将叙事参与纳入他们的沟通策略.
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