'I've heard wonderful things about you': how patients compliment surgeons.
'I've heard wonderful things about you': how patients compliment surgeons.
复制标题
“我听说过关于你的美好事情”：患者如何称赞外科医生。
DOI：
10.1111/j.1467-9566.2010.01248.x
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发表时间：
2010
影响因子：
2.9
通讯作者：
Frankel,Richard
中科院分区：
文献类型：
--
作者：
Hudak,PamelaL;Gill,VirginiaTeas;Aguinaldo,JeffreyP;Clark,Shannon;Frankel,Richard
这项调查的动机是医生报告说，病人的赞美往往会给他们带来“危险信号”，这就提出了一个问题，即赞美是否被用来实现某种优势。我们的目标是通过分析外科医生与患者的对话录音，了解医生对患者赞美的不适。使用会话分析，我们表明，无论是位置和设计的恭维是相应的外科医生如何听到和回应他们。后处理建议中的赞美既不是为了追求机构议程而设计的，也不是为了追求机构议程而设计的，而是以与日常互动中的赞美反应基本一致的方式来回应，但包括保留外科医生专业知识的修改。相反，一些在治疗建议之前提供的赞美追求特定的治疗方法，并引起外科医生的抵制。在治疗建议之前提供的其他赞美并不公开追求机构相关的赞美-例如，在访问的开始阶段提供的赞美。我们展示了这些赞美可能但不一定预示着病人即将到来的日程安排。这项工作扩展了我们对恭维的干扰功能的理解，以及患者在与医疗保健专业人员接触时用于追求预期结果的资源。
This investigation was motivated by physician reports that patient compliments often raise ‘red flags’ for them, raising questions about whether compliments are being used in the service of achieving some kind of advantage. Our goal was to understand physician discomfort with patient compliments through analyses of audiotaped surgeon‐patient encounters. Using conversation analysis, we demonstrate that both the placement and design of compliments are consequential for how surgeons hear and respond to them. The compliments offeredaftertreatment recommendations are neither designed nor positioned to pursue institutional agendas and are responded to in ways that are largely consistent with compliment responses in everyday interaction, but include modifications that preserve surgeons’ expertise. In contrast, some compliments offeredbeforetreatment recommendations pursue specific treatments and engender surgeons’ resistance. Other compliments offered before treatment recommendations do not overtly pursue institutionally‐relevant agendas—for example, compliments offered in the opening phase of the visit. We show how these complimentsmay but need notforeshadow a patient’s upcoming agenda. This work extends our understanding of the interactional functions of compliments, and of the resources patients use to pursue desired outcomes in encounters with healthcare professionals.