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A Sociolinguistic study for the optimal medical communication

最佳医疗沟通的社会语言学研究

基本信息

批准号：
17520313
负责人：
YOSHIOKA Yasuo
金额：
$ 2.3万
依托单位：
The National Institute for Japanese Language
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2005
资助国家：
日本
起止时间：
2005 至 2006
项目状态：
已结题

项目摘要

2005(1) Collection of the medical interview discourse, and the follow-up interview towards both doctors and simulated patient (SP)(2) Focus-group interviews towards two groups of doctors (young-age doctors and middle-age doctors) Results of the analysis on the discourse data and the interviewed data showed the following points.(1) The overuse of the honorifics in medical interviews goes against the rapport establishment between doctors and patients(2) The doctor's use of the same dialects as their patients shortens the psychological distance, and works effectively with the rapport establishment.(3) Patients expect doctors to avoid the use of both medial and medical treatment terminologies as much as possible. However, it is often the case when the use of the terminologies is mandatory. In which case, doctors are expected to find a better ways to provide medical information to their patients2006(1) Internet survey was conducted to doctors and dentists in order to examine the effective u … More sages of the honorifics and dialects, politeness strategy, medical and medical treatment terminologies, interview strategy, and the application of the interpretation model.(2) Based on the result of the internet survey, a panel discussion was held to discuss the issues for an optimum medical communication(3) Interviews were made in random toward both patients and those who are in medicine (doctors, nurse, and pharmacists). Results of the analyses of quantitative and qualitative data at all surveys and web-workshop showed the following points.(1) Specific strategies were found to improve techniques to convey the meanings of the technical medical and medical treatment terminologies. These outputs will be applied to 'Proposal to improve the language at hospital.'(2) Honorifics adequate at the medical interviews are characterized as the one which function as mutual respect towards both doctors and patients. Patients and doctors who aim to practice patient-oriented decision-making work effectively for the rapport-establishment, and regard the adequate use of honorifics as a positive-politeness strategy.(3) Conversation between patients and doctors by the use of dialect has a positive-politeness effect, makes the patient relaxed Less

2005（1）医学访谈话语收集及对医生和模拟病人的后续访谈（SP）（2）对两组医生（青年医生和中年医生）的焦点小组访谈对话语数据和访谈数据的分析结果表明：（1）医学访谈中敬语的过度使用不利于医患关系的建立（2）医生使用与患者相同的方言患者缩短了心理距离，有效地建立了融洽关系。(3)患者期望医生尽可能避免同时使用医学和医疗术语。然而，通常情况下，术语的使用是强制性的。在这种情况下，医生们需要找到更好的方式向患者提供医疗信息2006(1)对医生和牙医进行了网络调查，以考察敬语和方言的有效使用、礼貌策略、医疗和医疗术语、访谈策略以及解释模型的应用。(2)根据网络调查的结果，召开小组讨论会，讨论最佳医疗沟通的问题(3)访谈对患者和医学界人士（医生、护士和药剂师）随机进行。所有调查和网络研讨会的定量和定性数据分析结果表明以下几点：（1）找到了改进技术来传达技术医疗和医疗术语含义的具体策略。这些成果将应用于“改善医院语言的提案”。(2) 在医疗面谈中充分使用敬语的特点是能够起到对医生和患者相互尊重的作用。旨在实践以患者为中心的决策的患者和医生有效地建立融洽关系，并将充分使用敬语作为一种积极的礼貌策略。（3）患者与医生之间使用方言进行交谈具有积极的礼貌效果，使患者放松下来