交往行为理论下医患沟通行为的合理化研究——以纪录片《中国医生》为例  

Research on the rationalization of doctor-patient communication behavior from the perspective of communicative action theory:a case study of the documentary Chinese Doctors

作　　者：张雅宁 车向前 ZHANG Yaning;CHE Xiangqian(School of Foreign Studies,Northwestern Polytechnical University,Xi’an 710129,China)

机构地区：[1]西北工业大学外国语学院,陕西西安710129

出　　处：《中国医学伦理学》2024年第10期1181-1188,共8页Chinese Medical Ethics

摘　　要：医患沟通不仅是医疗行为的一部分,更是社会交往行为的重要组成部分。从交往行为理论的核心范畴即交往行为合理化的视角出发,对纪录片《中国医生》中医患沟通行为的合理化要素进行研究后发现:合理的医患沟通是以医患双方的互主体性为基础,医方主体和患方主体围绕病情、诊治等客体对象展开平等互动;医患言语要遵循沟通的有效性要求,即以真实性、正确性、真诚性为条件;应以理想的沟通情境为途径,实现自由理性对话,最终以实现理解和共识为导向,构建起和谐的医患交往关系。Doctor-patient communication is not only a part of medical behavior,but also an important part of social communicative action.Starting from the perspective of the core category of communication action theory,namely the rationalization of communication behavior,this paper investigated the elements of rationalization in the doctor-patient communication behavior in the documentary Chinese Doctors.It was found that reasonable doctor-patient communication was based on the intersubjectivity between doctors and patients,with the medical and patient subjects engaging in equal interaction around illness,diagnosis and treatment,and other objects;doctor-patient speech should follow the requirements for communicative validity,which require authenticity,correctness,and sincerity as conditions;doctor-patient communication should take the ideal speech situation as a way to achieve free and rational dialogue,and ultimately should take understanding and consensus as orientation to build a harmonious doctor-patient communication relationship.

关 键 词：交往行为理论 医患沟通 合理化 《中国医生》 

分 类 号：R-052[医药卫生]