伴随医疗咨询中的问题呈现:多人参与模式
Zi Yang1, Weihua Wu1, Xueming Wang2
1School of Foreign Studies, University of Science and Technology Beijing.
Health communication
|October 20, 2025
概括
在与同伴的医生-病人互动中,患者描述问题,而同伴讲述病史. 这种沟通的差异,受知识共享 (认识论) 的影响,影响咨询的效率.
科学领域:
- 医学沟通 医学沟通
- 谈话分析 对话分析
- 社会语言学 社会语言学
背景情况:
- 当伴侣参与时,医生与患者的互动是复杂的.
- 了解沟通动态对于有效的医疗保健至关重要.
研究的目的:
- 检查患者和同伴在医疗咨询期间提出问题的差异.
- 分析认识论在塑造这些演示风格中的作用.
主要方法:
- 谈话分析方法应用于中国医疗咨询的音频/视频录制.
- 对自然发生的相互作用进行分析,重点关注主要关注的陈述.
- 检查在常见和偏差情况下的动作形成,考虑顺序位置和参与类型.
主要成果:
- 患者倾向于直接描述医疗问题.
- 伴侣更有可能讲述病史,而不是问题本身.
- 这些不同的做法是观察不管顺序的位置或参与类型,认识论发挥着关键作用.
结论:
- 伴侣的存在使相互作用序列复杂化.
- 存在着不同的患者和伴侣问题陈述风格,受到认识论的影响.
- 这些发现可以提高伴随医疗咨询的效率和对多人互动的理解.
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