為了實現(xiàn)成功的醫(yī)療服務,醫(yī)生與患者彼此之間的相互交流顯得尤為重要。可以說,醫(yī)患交際在醫(yī)療服務中起著關(guān)鍵作用。目前,研究者們也越來越重視對醫(yī)患交際的研究。本文運用會話分析的手段對醫(yī)患交際的其中一個方面——醫(yī)療風險交談——進行探討。本次研究所選語料均出自于對中國山西省內(nèi)醫(yī)療機構(gòu)的醫(yī)生對患者的問診過程的錄音和轉(zhuǎn)寫。會話分析的研究對象是人們在交往活動中的談話,它能更加直觀和詳細的展現(xiàn)人與人之間的會話活動。會話分析的主要概念包括話輪轉(zhuǎn)換、話輪設(shè)計、序列結(jié)構(gòu)和話題組織等。經(jīng)過對中國醫(yī)療機構(gòu)中的醫(yī)患風險交談進行認真分析,本研究主要從以下三個方面進行了探討。首先,參照的標準不同,醫(yī)療風險交談可有不同的分類。如:根據(jù)交談中是否談到利益可將醫(yī)療風險分為指定風險、均衡風險、對比風險和風險差異;根據(jù)風險交談主題發(fā)起人的不同可將醫(yī)療風險交談劃分為由醫(yī)生發(fā)起的醫(yī)療風險交談和由患者發(fā)起的醫(yī)療風險交談;根據(jù)交談效果的不同又可將醫(yī)療風險交談劃分為產(chǎn)生積極效果的醫(yī)療風險交談和產(chǎn)生消極效果的醫(yī)療風險交談。其次,醫(yī)患交談中會出現(xiàn)就不同話題進行的交談,醫(yī)療風險交談作為其中的一個話題必然有其組織的規(guī)律,話題組織就包括有對話題提出... 

【文章來源】：山西大學山西省

【文章頁數(shù)】：69 頁

【學位級別】：碩士

【文章目錄】：
ABSTRACT
中文摘要
Chapter One Introduction
Chapter Two Literature Review
    2.1 Relevant studies on doctor-patient communication
        2.1.1 Studies abroad
        2.1.2 Studies at home
        2.1.3 Contributions and limitations of the previous studies
    2.2 Relevant studies on risk communication in medical settings
        2.2.1 Studies abroad
        2.2.2 Studies at home
        2.2.3 Contributions and limitations of the previous studies
Chapter Three Theories and Methodology
    3.1 Conversation analysis
        3.1.1 the emergence of conversation analysis
        3.1.2 Data, transcription and analysis
        3.1.3 Core ideas in conversation analysis
            3.1.3.1 Turn-taking organization
            3.1.3.2 Turn design
            3.1.3.3 Sequential organization
            3.1.3.4 Topic management
    3.2 Data collection
        3.2.1 Participants
        3.2.2 Procedure
        3.2.3 Transcription
Chapter Four Medical Risk Communication: A Data-based Analysis
    4.1 Different classifications of medical risk communication
        4.1.1 Different risk communication according to the content of the talk
            4.1.1.1 Assigned risk
            4.1.1.2 Balanced rsk
            4.1.1.3 Compared risk
            4.1.1.4 Risk difference
        4.1.2 Different risk communication according to the initiator
            4.1.2.1 Doctor as the initiator
            4.1.2.2 Patient as the initiator
        4.1.3 Different risk communication according to the communication effectiveness
            4.1.3.1 Risk communication with a positive effect
            4.1.3.2 Risk communication with a negative effect
    4.2 Risk communication as a topic
        4.2.1 Topic raising
            4.2.1.1 Topical initial elicitation sequences
            4.2.1.2 Topic nomination
        4.2.2 Topic closing
    4.3 The suggested strategies for improving doctor-patient risk communication
        4.3.1 Helping the patient evaluate the risk data more reasonably
        4.3.2 Equipping the doctors with efficient up-to-date risk and benefit estimates and communicating techniques
Chapter Five Conclusion
Appendix Transcription Notations
Bibliography
Acknowledgements
個人簡況及聯(lián)系方式


【參考文獻】：
期刊論文
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