在诊断过程中,沉默作为医生的认识态度中的一种态度:法国一家医院的案例研究
1École Pratique de Service Social, CY Cergy Paris Université, Paris, France; ESCP Business School, Paris, France.
Social science & medicine (1982)
|May 8, 2025
概括
医生在诊断患者和披露坏消息时,战略性地使用沉默. 这项研究揭示了机构规范如何影响这种沉默,这有助于患者的准备,并加强医学沟通的科学框架.
科学领域:
- 医学社会学 医学社会学
- 在医疗保健领域的沟通
- 临床实践 临床实践
背景情况:
- 在医学诊断和坏消息传递的研究中,沉默经常被忽视.
- 了解沉默的作用对于有效的患者沟通和护理至关重要.
- 机构规范显著影响医疗保健环境中的沟通动态.
研究的目的:
- 分析诊断期间医生与患者互动中的沉默的功能和意义.
- 探索医院的规范和约束如何影响医生使用沉默.
- 在临床实践中调查沉默作为医生的认识态度的关键组成部分.
主要方法:
- 在专科医院进行咨询的观察研究.
- 与医疗保健专业人员进行半结构面试.
- 对沟通模式和机构影响的定性分析.
主要成果:
- 在预诊断和诊断阶段,沉默的功能不同.
- 在预诊断中,沉默为患者准备潜在的疾病,同时与机构的期望保持一致.
- 在诊断过程中,沉默强化了医生对科学框架的坚持.
结论:
- 沉默是医疗沟通中一个故意和功能性的元素,而不仅仅是语言的缺席.
- 医生对沉默的使用是由制度要求及其认识论作用所塑造的.
- 识别和理解沉默对于改善患者护理和处理复杂的医疗互动至关重要.
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