会话分析:医患关系在中医就诊环境下的建构 = Conversation analysis: the construction of doctor-patient relationships in traditional Chinese medicine context

• Main Author: 卫心渝 Wei, Xinyu
• Other Authors: Lim Ni Eng
• Format: Final Year Project
• Language: Chinese
• Published: Nanyang Technological University 2023
• Subjects: Humanities::Language::Chinese
• Online Access: https://hdl.handle.net/10356/171134
• Institution: Nanyang Technological University

医患关系在医疗咨询中起到至关重要的作用。良好的医患关系不仅能够提高患 者对于医疗护理的满意程度，也可促进医师对医疗信息的掌握，使治疗效果更佳。一 些研究表明中医的医患关系相对于西医较好，然而关于中医医患关系的研究却在少 数。故此，本文将对中医良好医患关系的形成展开研究。本文通过视频录像的方式收 集了 12 个中医咨询过程的录像，并从中截取 2 个录像的部分片段，通过会话分析的视 角和分析策略对医患之间的对话序列进行解析。通过该研究，本文发现良好的医患关 系基于中医“整体观”的医理而形成。 关键词:医患关系、中医医理、会话分析、共情 Doctor-patient relationship plays an extremely important role in medical consultations. Good doctor-patient relationship not only improves patients’ satisfaction towards medical care, but also facilitate the doctor’s comprehension of medical information, resulting in better treatment outcomes. Several studies have shown that Traditional Chinese Medicine (TCM) has better doctor-patient relationship as compared to Western Medicine (WM), however, there are few studies on this topic in TCM context. This paper therefore aims to study the formation of good doctor-patient relationship in TCM. 12 TCM medical consultations were collected through video recording in this research, of which excerpts of 2 videos were chosen for analysis through the lens Conversation Analysis and its discourse strategies. Through this study, it is found that good doctor-patient relationship was built on the basis of the “holism” aspect in TCM medical ethos. Keywords: Doctor-patient relationship; TCM Medical Ethos; Conversation Analysis; Empathy