Arita Etsuko
Kitasato University School of Pharmacy.
Yakugaku Zasshi. 2017;137(6):665-669. doi: 10.1248/yakushi.16-00224-3.
The ability to communicate effectively as a healthcare professional has come into greater focus as the role of pharmacists expands from "medicine-based" to "client-based" (e.g., working with patients, their families, and in multidisciplinary interactions). The ability to communicate cannot be acquired solely in the classroom; a large part of acquiring such skill is based on practical experience. Role-playing with simulated patients has already been implemented in pharmaceutical education; in that sense, opportunities to receive education in practical communication are increasing. However, in order to assure that these educational opportunities are more than "experiences" in theory alone, aspects of communications training that are satisfactory or need improvement must be clarified through empirical studies. While data used in pharmaceutical studies have mainly been quantitative in nature, data required for medical communication studies is generally more qualitative. Only recently the importance of qualitative research has been recognized in pharmaceutical studies, a field in which any aspect difficult to express numerically has been considered subjective, and thus less acceptable. Against this backdrop, this report introduces an aspect of communication research that employs the Roter method of interaction process analysis (RIAS), a medical communication analyzing method by Professor Debra Roter at Johns Hopkins University. RIAS is a quantitative analysis of qualitative data. I want to discuss the significance of using results of research based on qualitative data to improve the quality of communication.
随着药剂师的角色从“以药物为基础”扩展到“以客户为基础”（例如，与患者及其家人合作，以及参与多学科互动），作为医疗保健专业人员进行有效沟通的能力受到了更多关注。沟通能力无法仅在课堂上获得；获得这种技能的很大一部分基于实践经验。与模拟患者进行角色扮演已经在药学教育中得到应用；从这个意义上说，接受实践沟通教育的机会正在增加。然而，为了确保这些教育机会不仅仅是理论上的“经验”，必须通过实证研究来明确沟通培训中令人满意或需要改进的方面。虽然药学研究中使用的数据主要是定量的，但医学沟通研究所需的数据通常更具定性。直到最近，定性研究在药学研究中的重要性才得到认可，在这个领域中，任何难以用数字表达的方面都被认为是主观的，因此不太容易被接受。在此背景下，本报告介绍了沟通研究的一个方面，即采用互动过程分析的罗特方法（RIAS），这是约翰霍普金斯大学的黛布拉·罗特教授提出的一种医学沟通分析方法。RIAS是对定性数据的定量分析。我想探讨利用基于定性数据的研究结果来提高沟通质量的意义。
