医患沟通模式——对比中国大学校医院与三甲医院的医疗会话特征
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1.清华大学;2.南京医科大学第一附属医院

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Doctor-Patient Communicative Styles:a Comparison of Medical Discourses in School Clinics and Municipal Hospitals in China
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1.Tsinghua University;2.the First Affiliated Hospital with Nanjing Medical University

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    摘要:

    医疗会话(medical discourse)是一种特殊的语篇形式,它通常发生医疗场所,是治疗者和被治疗者之间的会话。本文旨在研究在校医院和三甲医院这两种不同的语境下,医生和病人间的医疗会话模式。通过将医患间的会话进行录音,定性分析与比对两种语境下的语言模式及特点进行比对,考察各语境中的最小应答、话轮、重读音节这三种语境线索的数量与功能。研究结果表明,在两种语境下,医生都仍然在医患沟通占据主导地位,但是三甲医院的医生相对来说,采用了更为患者友好的沟通方式。

    Abstract:

    Medical discourse is a special type of discourse that occurs between the healer and the patient in medical situations. This paper examined the medical discourse under two different settings—the school clinics and the municipal hospitals—between doctors and patients. By analyzing the language features of conversations recorded under each setting and making a comparison of them in the qualitative way—by studying three contextualization cues, including minimal responses, turn-taking and stressed syllables, this paper came to the conclusion that though doctors under both settings still control a large proportion of the communication process, doctors in municipal hospitals adopted a more patient-friendly way of communication.

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  • 收稿日期:2014-08-25
  • 最后修改日期:2014-11-28
  • 录用日期:2014-12-22
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