《会话分析研究：医患咨询对话中的 “重复” 现象》= Conversation Analysis: a phenomenon of “repetition” that occurred during doctor-patient consultations

Abstract

新加坡泌尿科的医患咨询对话中呈现了一种现象，文中将这现象称为“重复”。患者在与医生对话时重复讲起了某类内容，说明了患者上一次讲起这类内容后，医生没有给出另其“满意”的回应，从而使患者有了重新讲出来的需要，而这则会拉长医患咨询时间。因此，从效率的角度来看，分析“重复”现象对了解有可能降低医患对话效率的原因是会有所帮助的。文章呈现并分析了6篇转录中的“重复”现象。分析重点为：患者所讲出的重复内容、患者通过所重复的内容做出的行为、这些行为有哪些效果、以及医生在回复患者时可能会遇到的困难。 A phenomenon of “repetition” is observed after analyzing transcripts of doctor-patient consultations that took place at a urology clinic of a hospital in Singapore. The fact that a patient repeats previously spoken content shows that the doctor did not reply in a way deemed “adequate” by the patient. Hence, the patient needs to say the same content again. This phenomenon can lead to a longer communication time which may cause the efficiency of a consultation to decrease. Therefore, to gain a better understanding about possible reasons that may lower the efficiency of consultations, various examples of “repetition” found in 6 transcripts are analyzed. The study puts focus on analyzing the repeated contents, the actions associated with the contents, the effect of actions on the consultation, and possible difficulties doctors may face when they respond to patients.