当语言愈合时:通过沟通适应理论评估中医远程医疗中以患者为中心的沟通
Fan Wang1, Junfang Wang2, Hailin Hu2
1Foreign Languages College, Shanghai Normal University, Shanghai, P.R. China.
Digital health
|December 31, 2025
概括
中国医生在在线咨询中表现出有限的语言适应能力,他们更喜欢稳定的专业谈话,而不是以患者为中心的策略. 通信适应理论 (CAT) 的培训可以改善远程医疗通信.
科学领域:
- 医学沟通 医学沟通
- 数字健康数字健康
- 语言适应 语言适应
背景情况:
- 在线医疗咨询在中国越来越普遍.
- 有效的医生与患者沟通对于提供优质的医疗保健至关重要.
- 沟通适应理论 (CAT) 为理解语言适应提供了一个框架.
研究的目的:
- 检查中国医生在在线咨询中使用的语言适应策略.
- 调查这些策略在不同的临床环境 (急性和慢性疾病) 中是如何变化的.
- 应用通信适应理论 (CAT) 来分析远程医疗中的医生与患者的互动.
主要方法:
- 从MedDialog-CN数据集中分析了200个基于文本的医生与患者的咨询.
- 编码对话使用CAT的五个战略类别和基于理论的特定战术.
- 采用定量频率和定性主题分析来评估沟通模式和患者反应.
主要成果:
- 医生主要使用维护策略 (74.5%),表明语言适应能力有限.
- 响应 (58%) 和澄清 (30.5%) 是常见的;简化 (10%) 和同理心 (16%) 是未充分利用的.
- 急性商具有指令和澄清沟通的特点,而慢性商显示出以连续性为导向的模式.
结论:
- 过度依赖专业化谈话和不充分使用适应性,同情的策略突出了以患者为中心的护理的差距.
- 基于CAT的沟通培训可以提高语言灵活性,清晰度和在中国远程医疗中的情感参与.
- 改进的沟通策略可以促进更清晰,更富有同情心和更符合文化的数字医疗保健.
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