患者-提供者沟通和健康差异:一项探索语言能力和沟通适应性的实验
Kathrin Rothermich1,2, Rose P Baker-Iyore3, Dai'Sha Dowson4
1Department of Communication Sciences and Disorders, East Carolina University, Greenville, NC, 27834, USA. rothermichk17@ecu.edu.
Journal of racial and ethnic health disparities
|November 5, 2025
概括
医疗保健提供者在与英语水平较低的患者互动时,调整他们的沟通方式,减缓语音和简化语言. 这些调整旨在改善理解并减少健康差异.
科学领域:
- 医学沟通 医学沟通
- 健康差距 研究 研究 研究 研究
- 医疗保健中的语言学
背景情况:
- 有效的医疗保健沟通对于公平的医疗服务至关重要.
- 语言失调和使用第二语言 (L2) 的患者可能会加剧健康差异.
- 在医学培训中,通常不会教授沟通适应策略.
研究的目的:
- 调查英语母语 (L1) 的医生助理学生在与不同英语水平的拉丁语L2形象患者互动时如何修改他们的沟通.
- 了解患者英语水平在指导提供者语言选择中的作用.
主要方法:
- 使用混合现实模拟 (Mursion) 的实验研究与41名医生助理学生.
- 分析声学 (语音速度,音调) 和词汇 (词汇频率,语境多样性) 的调整.
- 采访与L2形象患者进行,模拟不同的英语水平.
主要成果:
- 医生助理学生在与较低水平的L2化身互动时,语音速度显著降低.
- 学生缩小了音调范围,使用高频词汇与较不熟练的L2化身.
- 证明了L1说话者对L2说话者进行沟通适应的证据.
结论:
- 通信适应发生并影响患者与提供者之间的互动.
- 这些住宿可能会扩大或缩小医疗保健差距.
- 需要进一步的研究来确定改善患者理解和关系的具体住宿.
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