Duggan Ashley
Communication Department, Boston College, Chestnut Hill, MA 01810, USA.
J Health Commun. 2006;11(1):93-108. doi: 10.1080/10810730500461125.
Interpersonal communication processes are central to the provider-patient interaction and in relationships with someone who is ill or needs care. The last decade of research has documented the ways communication processes predict better outcomes in the provider-patient interaction and key constructs for consideration in close relationships in which a health issue in some way defines the relationship. The current article highlights findings from the previous decade and the ways previous findings serve as a theoretical and methodological foundation for more sophisticated analysis of interpersonal communication processes in health contexts. A relational perspective serves as a link between the provider-patient relationship and close relationships with someone with a health issue. Implications for provider-patient contexts, medical education, and close relationships highlight future directions for theory building, health literacy, health outcomes, family communication, developmental issues, and a life span perspective.
人际沟通过程是医患互动以及与患病或需要护理者建立关系的核心。过去十年的研究记录了沟通过程在医患互动中如何预示更好的结果,以及在健康问题以某种方式界定关系的亲密关系中需要考虑的关键要素。本文重点介绍了过去十年的研究发现,以及这些发现如何为更深入分析健康情境中的人际沟通过程提供理论和方法基础。关系视角是医患关系与和有健康问题者的亲密关系之间的纽带。对医患情境、医学教育和亲密关系的启示突出了理论构建、健康素养、健康结果、家庭沟通、发展问题和毕生视角等方面的未来方向。