THE ANALYSIS OF DOCTOR-PATIENT COMMUNICATIONS – AN APPLICATION OF THE GROUNDED THEORY METHOD

Éva Málovics, B. Vajda
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Abstract

Scientific research on doctor-patient communication dates back for decades, and the current situation of its practical realization has been criticized in many studies at both nation and international level and is generally considered inefficient. Doctor-patient communication, embedded within the framework of the complex health care system is itself a complex subject. According to experts, in a networked society, the digitalization of information and communication changes the way people communicate and cooperate and predict significant changes in communication. The knowledge asymmetry between doctors and patients has decreased with the use of the Internet. Accordingly, our research question is how this phenomenon appears in doctor-patient communication in a Hungarian setting.In accordance with the complexity of the topic, we chose to use in-depth interviews and focus group interviews as a research method and analyzed them using the Grounded Theory method. Two focus groups were conducted in which both actors, doctors and patients appeared, and we conducted in-depth interviews with four doctors and ten patients. Subjects, in accordance with the Grounded Theory method, were selected by quality sampling. We had an interview guideline, but we deviated from it from time to time, which is allowed by our chosen research method.The characteristics of communication were interpreted according to the social psychological and functional model. According to our results, the traditional communication culture of healthcare is dominant in communication, doctors adhere to this, which today leads to a decrease in patient trust, which is attempted to be managed by patients with different strategies.
医患沟通分析——扎根理论方法的应用
医患沟通的科学研究已经有几十年的历史了,但医患沟通的实际实现现状在国内外的许多研究中都受到了批评,普遍认为医患沟通效率低下。医患沟通,嵌入在复杂的卫生保健系统的框架内,本身就是一个复杂的主题。据专家介绍,在网络社会中,信息和通信的数字化改变了人们沟通和合作的方式,并预测了通信的重大变化。随着互联网的使用,医患之间的知识不对称已经减少。因此,我们的研究问题是这种现象是如何出现在匈牙利设置的医患沟通。根据课题的复杂性,我们选择了深度访谈和焦点小组访谈作为研究方法,并使用Grounded Theory方法进行分析。我们进行了两个焦点小组,其中演员、医生和患者都出现,我们对4名医生和10名患者进行了深度访谈。研究对象按照扎根理论方法进行质量抽样。我们有一个采访指南,但我们不时地偏离它,这是我们选择的研究方法所允许的。根据社会心理和功能模型对交际特征进行了解释。根据我们的研究结果,传统的医疗沟通文化在沟通中占主导地位,医生坚持这一点,这导致了今天患者信任的减少,患者试图通过不同的策略来管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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