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Form and semantics of communication in dental encounters: oral health, probability and time.

机译：牙齿接触中交流的形式和语义：口腔健康，可能性和时间。

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The purpose of this article is twofold. First, it introduces a new method for capturing the intricacy of communication in contemporary healthcare encounters. The method, termed 'form analysis', was developed from the systems theory of Niklas Luhmann. It is hoped that the paper will introduce form analysis as a new method to help understand complex communications in health systems. Second, the paper demonstrates an application of form analysis in communications in dental encounters. Data were collected through 36 observed encounters between five dentists and 20 patients in UK NHS primary and secondary care dental clinics. The study found a range of semantic forms relevant for these encounters, three of which are discussed at length in this article. The forms of communications illustrate how the dichotomy of dental professional and patient perspectives transforms into complex, non-linear observations about oral health. Dentistry, it seems, remains up to date not only through the emergence of new technologies, but also through reflexivity in observing and assessing oral health. These observations are exposed to the contingency of clinical decisions and the temporal aspects of the clinical system.
机译：本文的目的是双重的。首先，它引入了一种新方法来捕获当代医疗保健中交流的复杂性。该方法称为“形式分析”，是根据Niklas Luhmann的系统理论开发的。希望本文将引入形式分析作为一种新方法，以帮助理解卫生系统中的复杂通信。其次，本文演示了形式分析在牙科交流中的应用。通过英国NHS初级和二级保健牙科诊所的五名牙医与20名患者之间的36次观察到的接触收集了数据。该研究发现了与这些遭遇有关的一系列语义形式，本文将详细讨论其中的三种形式。交流的形式说明了牙科专业人士和患者观点的二分法如何转变为关于口腔健康的复杂的非线性观察结果。牙科不仅通过新技术的出现，而且还通过观察和评估口腔健康的自反性得以保持最新。这些观察暴露于临床决策的偶然性和临床系统的时间方面。

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