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跨文化视域下医患沟通问题分析与再思考

Analysis and Rethinking of the Doctor-patient Communication from a Cross-Cultural Perspective

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【作者】 陶思怡梁立波刘伟吴雪松薛羽芯宋韦剑

【Author】 TAO Siyi;LIANG Libo;LIU Wei;WU Xuesong;XUE Yuxin;SONG Weijian;School of Health Management, Harbin Medical University;Collaborative Innovation Center of Social Risks Governance in Health;College of Humanities and Social Sciences, Harbin Medical University;Personnel Section,Qingdao Chengyang District People’s Hospital;Department of Humanities and Social Science,Daqing Campus of Harbin Medical University;

【通讯作者】 梁立波;

【机构】 哈尔滨医科大学卫生管理学院国民健康社会风险预警协同创新中心哈尔滨医科大学人文社会科学学院青岛市城阳区人民医院人事科哈尔滨医科大学大庆校区人文社会科学系

【摘要】 由于医患双方对疾病的看法、价值观和信念不同,导致跨文化医患沟通出现了医疗服务忽视了患者的文化习俗和背景、医患之间的沟通障碍、医患双方健康文化价值观存在差异而导致的医患冲突等问题。通过诊断跨文化医患沟通的问题,提出跨文化医患沟通需要重视非医疗沟通或情感沟通、尊重医患双方在疾病认知上的差异、增强文化敏感性、重视医学生跨文化沟通技能培训等有针对性的建议,以期为临床实践提供参考。

【Abstract】 Due to the different views, values and beliefs of the doctor and patient on diseases, the cross-cultural communication between them has resulted in problems, such as medical service ignoring the cultural customs and backgrounds of patients, communication barriers between doctors and patients, and conflicts between doctors and patients caused by differences in health cultural values.Based on the diagnosis of intercultural doctor-patient communication, this study put forward some suggestions, such as attaching importance to non-medical communication or emotional communication, respecting the differences in disease cognition between doctors and patients, increasing cultural sensitivity, paying attention to the training of cross-cultural communication skills of medical students and other targeted suggestions, so as to provide reference for clinical practice.

【基金】 国家自然科学基金“多维视域下防御性医疗形成机制及治理策略研究”(71974049);国家自然科学基金“社会嵌入视域下医患关系影响机制及优先治理策略研究”(71673073);黑龙江省博士后科研启动金项目“社会嵌入视角下防御性医疗行为影响机制研究”(LBH-Q18071)
  • 【文献出处】 中国医学伦理学 ,Chinese Medical Ethics , 编辑部邮箱 ,2020年01期
  • 【分类号】R197.3
  • 【被引频次】12
  • 【下载频次】553
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