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首页> 外文期刊>Qualitative health research >Modes of Interaction in Naturally Occurring Medical Encounters With General Practitioners: The “One in a Million” Study
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Modes of Interaction in Naturally Occurring Medical Encounters With General Practitioners: The “One in a Million” Study

机译：全科医生自然医疗遭遇的互动模式：“百万分之一”的研究

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In this article, we qualitatively explore the manner and style in which medical encounters between patients and general practitioners (GPs) are mutually conducted, as exhibited in situ in 10 consultations sourced from the One in a Million: Primary Care Consultations Archive in England. Our main objectives are to identify interactional modes, to develop a classification of these modes, and to uncover how modes emerge and shift both within and between consultations. Deploying an interactional perspective and a thematic and narrative analysis of consultation transcripts, we identified five distinctive interactional modes: question and answer (Q&A) mode, lecture mode, probabilistic mode, competition mode, and narrative mode. Most modes are GP-led. Mode shifts within consultations generally map on to the chronology of the medical encounter. Patient-led narrative modes are initiated by patients themselves, which demonstrates agency. Our classification of modes derives from complete naturally occurring consultations, covering a wide range of symptoms, and may have general applicability.
机译：在这篇文章中，我们定性地探讨了患者和全科医生（GPs）之间相互进行医疗接触的方式和风格，如来源于《百万分之一：英格兰初级保健咨询档案》的10次现场咨询所示。我们的主要目标是确定互动模式，对这些模式进行分类，并揭示模式是如何在协商内部和协商之间出现和转变的。运用互动视角和对咨询记录的主题和叙事分析，我们确定了五种不同的互动模式：问答模式、讲座模式、概率模式、竞争模式和叙事模式。大多数模式都是GP led。会诊中的模式转换通常会映射到医疗遭遇的时间顺序上。患者主导的叙事模式是由患者自己发起的，体现了主体性。我们的模式分类来源于完整的自然发生的咨询，涵盖了广泛的症状，可能具有普遍适用性。

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