From interactional manifestations to interpersonal motives: A pragmatic study of attentiveness by Chinese doctors during online medical consultations

Yansheng Mao , Xiaojiang Wang , Shuang Wei
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Abstract

This paper examined the attentiveness demonstrated by doctors to e-patients during online medical consultations (OMCs). Drawing upon data retrieved from www.chunyuyisheng.com (Chunyu Doctor), this study attempts to explore how doctors display attentiveness to e-patients and how attentiveness contributes to patient-centeredness during OMCs in China. It was found that three strategies (reformulation, mitigation, and empathy) were deployed by doctors to demonstrate attentiveness to e-patients during OMCs. Moreover, these three attentiveness-constructing strategies reveal the efforts of doctors toward patient-centeredness regarding communicative gaps in information, solidarity, and pathos. Notably, this paper discussed doctors’ demonstration of attentiveness as a joint goal-oriented activity, with the common goal of solving problems shared by doctors and e-patients. The findings above not only problematize the endemic idea that attentiveness is an intrapsychic essence from an interpersonal pragmatic perspective but also extend the line of doctor-patient communication by highlighting OMCs as a joint goal-oriented activity.

从互动表现到人际动机:中国医生在线医疗咨询注意力的语用研究
本文考察了医生在网上医疗咨询(OMCs)中对电子患者的关注程度。根据www.chunyuyisheng.com(春雨医生)的数据,本研究试图探讨医生如何对电子患者表现出关注,以及在中国的omc中,关注如何促进以患者为中心。研究发现,医生在omc期间采用了三种策略(重新制定、缓解和移情)来表现对电子患者的关注。此外,这三种注意力构建策略揭示了医生在信息、团结和同情等沟通差距方面朝着以患者为中心的努力。值得注意的是,本文讨论了医生的注意力展示是一种共同的目标导向活动,其共同目标是解决医生和电子患者共有的问题。上述发现不仅从人际语用的角度质疑了关注是一种内在心理本质的流行观点,而且通过强调关注是一种共同的目标导向活动,扩展了医患沟通的范围。
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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