Medical Jargon Used in Health Care Communication of Family Physician
Medical Jargon Used in Health Care Communication of Family Physician
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家庭医生医疗保健沟通中的医学术语
DOI：
10.4082/kjfm.2010.31.6.453
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发表时间：
2010
影响因子：
2.3
通讯作者：
E. Park
中科院分区：
文献类型：
--
作者：
E. Park
研究背景：当医生使用难以理解的医学术语时，患者将其视为医生的权威。它对医患关系产生了负面影响，阻碍了向患者传递准确的意义。本研究的目的是探讨在医学访谈中使用了哪些意义难以理解的医学术语（医学行话），并调查患者对医学术语的理解情况。研究方法：在先前的研究中，67例医生与病人的谈话在一所大学医院的家庭医学诊所录像，他们从2005年8月到2007年1月转录。本研究选取60例完整录音的谈话录音，分析医学术语的内容和使用频率。作者选取了10个医学术语作为访谈对象，通过问卷调查的方式，对家庭医学门诊患者对医学术语的理解情况进行了调查。结果：在60次访谈中，有26次医生使用了一种或多种医学术语。在73个术语中，39个（53.4%）医生向患者解释了医学术语的含义。213名患者回答了问卷。超过一半（中位数，55.4%;范围，11.7%至75.1%）的受访者表示，他们“从来不知道”或“几乎不知道”的意思，如果它是不加解释的医疗术语使用。随着收入水平的增加，患者对10个医学术语的理解水平得分显著增加，但随着年龄、性别差异和文化程度的增加，这一趋势无统计学意义。结论：家庭医生在43.3%的医学访谈中使用医学术语，他们向患者解释了一半以上的医学术语的含义。在一所大学医院的家庭医学诊所，超过一半的病人回答说，如果不加解释地使用这些医学术语，他们从来不知道或几乎不知道它们的含义。
Background: When physicians use the medical terms difficult to understand the meaning, patients regard it as an authority of the physician. It has negative influence on physician-patient relationship and hinders delivering accurate meaning to the patient. The purpose of this research is to investigate what kind of medical terms which meaning is difficult to understand (medical jargon) are used in medical interviews and survey the patients' understanding of the medical terms. Methods: In the preceding study 67 cases of physicians' interviewing with patient were videotaped in the family medicine clinic of a university hospital and they were transcribed from August, 2005 to January, 2007. For this study 60 cases of the transcribed conversations, which interviewing was completely recorded, were assessed for analyzing the content and frequency of medical jargon. The author selected 10 medical terms used in this study's interviews and surveyed the patients' understanding of the medical terms, who visited the family medicine clinic, by questionnaires. Results: In 26 of 60 interviews one or more medical jargon were used by the physician. In 39 of 73 terms (53.4%) the physicians explained meaning of the medical terms to the patient. 213 patients responded to the questionnaires. More than half (median, 55.4%; range, 11.7 to 75.1%) of the respondents expressed that they 'never know' or 'hardly know' the meaning of the medical terms if it was used without explanation. The scores of level of patients' understanding of 10 medical terms significantly increased according to increasing level of income, but the trend is not statistically significant according to increasing age, difference of sex, and level of education. Conclusion: The family physicians used medical jargon in 43.3% of medical interviews, and they explained meaning of the medical terms to the patients for more than half of the terms. More than half of the patients in a university hospital family medicine clinic responded that they never knew or hardly knew meaning of the medical terms if they were used without explanation.
巴别塔胡言乱语：医生对患者使用不明医学术语。
影响因子：
2.3
作者：
Castro,CesarM;Wilson,Clifford;Wang,Frances;Schillinger,Dean
通讯作者：
Schillinger,Dean