在中国门诊临床相互作用中诊断的伴侣反应
Shuai Zhang1, Meili Cheng2, Wen Ma3
1School of Foreign Languages, Yantai University, Yantai, Shandong, China.
Social science & medicine (1982)
|November 2, 2023
概括
在中国诊所的同伴积极影响诊断. 他们的各种各样的反应,从口头到身体,展示了代理和挑战医疗权威,转向以家庭为中心的护理.
科学领域:
- 医学社会学 医学社会学
- 谈话分析 对话分析
- 医疗保健通讯 医疗保健通讯
背景情况:
- 伴侣经常参加中国门诊诊所的咨询.
- 伴侣在诊断中的作用及其反应仍未得到充分研究.
研究的目的:
- 调查伴侣在中国门诊临床互动中对诊断的反应.
- 分析伴侣对诊断过程的贡献.
主要方法:
- 79次视频录制的骨科门诊咨询的对话分析.
- 涉及3名临床医生,79名患者和91名伴侣.
主要成果:
- 确定了三个类别的伴侣反应:最小的口头,体现和扩展.
- 同伴们通过提供判断,抵制诊断和质疑推理来挑战医疗权威.
- 证明了伴侣机构和从父权主义转向以家庭为中心的护理模式.
结论:
- 伴侣反应在中国骨科环境中显著影响临床决策.
- 突出了医生与病人关系的演变,以一种更以家庭为中心的方法.
- 强调认识到伴侣在临床相互作用中的贡献的重要性.
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