在线医疗咨询中的话语结构——以“丁香医生”网站医生回复话语为例  

A Genre Analysis of Discourse Structure of Online Medical Consultations:Based on the Doctor Responses to Patients Consultations from Dingxiang Yisheng Website

作　　者：任育新[1] 李绪清 

机构地区：[1]兰州理工大学

出　　处：《外国语文研究（辑刊）》2023年第2期2-17,共16页

基　　金：甘肃省研究生“创新之星”项目“在线医疗问诊交际的礼貌策略及和谐医患关系建构”(2023CXZX 502)阶段性成果;北京外国语大学北京高校高精尖学科“外语教育学”建设项目支持

摘　　要：本研究以“丁香医生”网站医生回复患者咨询的话语为语料,借鉴Swales(1990,2004)语步—语阶分析框架思路,考察了在线医疗咨询中医生回复患者咨询的话语结构。结果表明,医生在线回复患者咨询的话语结构主要包括四个语步,即“启动交流”—“诊断病情”—“治疗建议”—“结束交流”,其中“诊断病情”和“治疗建议”为必选语步,“启动交流”和“结束交流”为可选语步。另外,每个语步中的语阶在其所在语步中的出现频次有较为明显的差异,但总体上每个语步均有两个或两个以上的语阶组合构成。从交际目标和语用功能来看,“诊断病情”和“治疗建议”以实现有效治疗患者的交易型目标为主,突显的是医生的专业性、权威性等;而“启动交流”和“结束交流”以实现人际目标为主,主要是建构和谐医患关系,建构了医生亲和、友爱、责任心强、个人素养高等良好形象。This study examines the discourse structure of the doctors responses to patients consultations based on the data from a well-known online medical consultation website(i.e.,Dingxiang Yisheng),by adopting the framework of move-step analysis proposed by Swales(1990,2004).The findings show that the doctors responses to patients consultations consist of four moves,i.e.,opening—making a diagnosis—giving advice—closing,and of these,“diagnosis-making”and“advice-giving”are essential moves,while“opening”and“closing”are optional ones.Each move is largely composed of two or more steps,and obvious differences exist in the frequency of these steps in their move.Both“diagnosis-making”and“advice-giving”moves,making salient the doctors expertise and authority,aim to achieve the transactional goal of online medical consultations,while the moves of“opening”and“closing”aim to achieve the interpersonal goal of this genre and they,shaping doctors with an image of being considerate,friendly and responsible,mainly construct a harmonious relationship between doctors and patients.

关 键 词：在线医疗咨询 话语结构 语步和语阶 交际目标 

分 类 号：H136[语言文字—汉语] R-05[医药卫生]