Templeman Kate, Robinson Anske, McKenna Lisa
Monash University, Faculty of Medicine, Nursing & Health Sciences, School of Rural Health, Department of Rural & Indigenous Health, Australia.
Monash University, Faculty of Medicine, Nursing & Health Sciences, School of Rural Health, Department of Rural & Indigenous Health, Australia.
Complement Ther Clin Pract. 2015 Feb;21(1):33-41. doi: 10.1016/j.ctcp.2015.01.005. Epub 2015 Jan 31.
Terminology around the use of complementary medicines (CM) within medical discourse is ambiguous. Clear collective discourse within the medical context is required. This study reports the findings of a Constructivist Grounded Theory Method study used to explore medical students' conceptualisation of terminology and associated value components around CMs as evidenced within their discourse community. The results show that terminology surrounding CMs within medicine is politically charged and fraught with value judgements. Terms used to describe CMs were considered, many of which were deemed problematic. Categorisation of specific medicines was also deemed inappropriate in certain contexts. Conceptualisation of CM terminology, categorisation and value implications, discriminated between levels of evidence for CMs and provided insights into the social change of medicine towards emergence of an evidence-based integrative approach. The results show that terminology surrounding CM is a social construct consistent with fluid conceptualisation and operationalisation in different social contexts.
医学话语中关于使用补充医学(CM)的术语含混不清。医学背景下需要清晰的集体话语。本研究报告了一项建构主义扎根理论方法研究的结果,该研究用于探索医学生对补充医学术语及相关价值成分的概念化,这在他们的话语社区中有所体现。结果表明,医学领域中围绕补充医学的术语带有政治色彩且充满价值判断。研究考虑了用于描述补充医学的术语,其中许多被认为存在问题。特定药物的分类在某些情况下也被认为不合适。补充医学术语的概念化、分类及价值含义,区分了补充医学的证据水平,并为医学向循证综合方法出现的社会变革提供了见解。结果表明,围绕补充医学的术语是一种社会建构,与不同社会背景下灵活的概念化和操作化相一致。