Olga V. Romashova

PhD in Philology, associate Professor of the chair of Public Health, Organization and Informatization of Health Care of the IInstitute for Advanced Medical Education of the National Medical and Surgical Center named after N.I. Pirogov of the Ministry of Healthcare of the Russian Federation

Federal State Budgetary Institution “National Medical and Surgical Center named after N. I. Pirogov” of the Ministry of Healthcare of the Russian Federation

(Moscow, Russia)

Natalia A. Romanova

PhD in Philology, senior lecturer of the Chair of Russian Philology and Journalism of the Volgograd state University

Volgograd state University

(Volgograd, Russia)

Abstract. The work regards the linguistic representation of the patient-oriented approach in the texts of clinical recommendations (guidelines). The authors highlight that patient-orientated has a direct connection with promotion of a healthy lifestyle, personification (the creation and use of personal medications, individualized clinical recommendations, therapies and systems of monitoring), predictability (predictive focus in advance of developing the disease), participativity (a joint activity between the doctor and the patient). All of the foregoing is implemented at the documentary level (through the development and implementation of individualized and harmonized clinical guidelines and clinical recommendations for patients), at the linguistic level (the use of language markers that implement participativity, compliance and empathy as the main categories of a patient-centered approach); at the graphic level (the use of visual materials, infographics, special fonts and other ways of highlighting the text of the document).
Keywords: clinical recommendations, patient-oriented approach, empathy, participativity, compliance.

Full text of the article (PDF)


For citation:Romashova, OV, Romanova, NA 2020, ‘Linguistic representation of the patient-oriented approach in the treatment process (based on clinical recommendations)’, Tula Scientific Bulletin. History. Linguistics, issue 2 (2), pp. 95–107, URL: http://tula-vestnik.ru/pdf/2020/vipusk_2_15_12_20.pdf (in Russ.)

References

1.Ametov A. S., Kamynina L. L. Obnovlennye klinicheskie rekomendacii AACE po diagnostike i lecheniyu saharnogo diabeta tipa 2 (personalizirovannaya profilakticheskaya diabetologiya) [Updated AACE clinical guidelines for the diagnosis and treatment of type 2 diabetes mellitus (personalized preventive diabetology)]. Endokrinologiya: novosti, mneniya, obuchenie № 2 (3). [Endocrinology: news, opinions, training. Issue 2(3)]. 2013. Pp. 42–54. (In Russ.)
2. Artishevskij S. E. Empatiya v tekste radionovostej [Empathy in the text of radio news]. Znak: problemnoe pole mediaobrazovaniya. № 2 (4) [Sign: problematic field of media education. Issue 2 (4)], 2009. Available at: https://cyberleninka.ru/article/n/empatiya-v-tekste-radionovostey (accessed: 18 May 2020). (In Russ.)
3. Dyachenko E. V., Samoylenko N. V. Semantika obraza patsiyenta i yego izmeneniye pri obuchenii navykam professional'nogo obshcheniya [Patient image semantics and its change in training skills in quasi professional medical activity]. Natsional’nyy psikhologicheskiy zhurnal. no (13)1 [National Psychological Journal. Issue 13 (1)]. 2020. Pp. 115–125. (In Russ.)
4. Zhura V. V. Narratologicheskie issledovaniya ustnogo medicinskogo diskursa [Narratological Studies of Spoken Medical Discourse]. Mezhdunarodnyj zhurnal issledovanij kul'tury. no 1 (10). [International journal of cultural research. Issue 1 (10)], 2013. Available at: https://cyberleninka.ru/article/n/narratologicheskieissledovaniya-ustnogo-meditsinskogo-diskursa (accessed: 18. May 2020). (In Russ.)
5. Zenovina V. Predstaviteli professional'nogo soobshchestva: v Rossii dolzhna formirovat'sya pacient-orientirovannaya medicina [Representatives of the professional community: patient-centered medicine should be formed in Russia]. Garant.ru: informatsionno-pravovoy portal. Moscow: 2018-2020. Available at: http://www.garant.ru/news/1165873/ (accessed: 21 May 2020). (In Russ.)
6. Karymshakova T. G. Lingvisticheskiye tekhnologii rechevogo vozdeystviya v meditsinskom diskurse. dis. ... kand. filol. nauk [dis. … kand. filos. nauk [[Linguistic technologies of speech influence in the medical discourse. Cand. Thes. ... Cand. Philol. Sciences]. Ulan-Ude: 2015. 198 p. (In Russ.)
7. Komorbidnaya patologiya v klinicheskoy praktike. Klinicheskiye rekomendatsii [Comorbidities in practice. Clinical guidelines]. Kardiovaskulyarnaya terapiya i profilaktika. Tom16, no. 6 [Cardiovascular Therapy and Prevention. Vol. 16, Issue 6]. 2017. Pp.5-56. (In Russ.)
8. Kuvshinova N. YU. Problema priverzhennosti terapii v razlichnykh oblastyakh meditsiny [The problem of compliance therapy in different fields of medicine]. Izvestiya Samarskogo nauchnogo centra Rossijskoj akademii nauk. T.17, no 5(3) [Izvestia of Samara Scientific Center of the Russian Academy of Sciences. Vol. 17, Issue 5 (3)]. 2015. Pp. 1014–1020. (In Russ.)
9. Meshcheryakova T. V. Meditsinskiy narrativ v bioetike kak kriteriy ucheta individual'nosti patsiyenta [Medical narrative in bioethics as a criterion of taking into account the individuality of patient]. Vestnik Tomskogo gosudarstvennogo pedagogicheskogo universiteta, no 5 [Tomsk State Pedagogical University Bulletin. Issue 5]. 2010. Available at: https://cyberleninka.ru/article/n/meditsinskiy-narrativv-bioetike-kak-kriteriy-ucheta-individualnosti-patsienta (accessed: 05 June 2020). (In Russ.)
10. Mikirtichan G. L., Kaurova T. V., Ochkur O. K. Komplayentnost' kak medikosotsial'naya i eticheskaya problema pediatrii [Compliancy as a medico-social and ethic problem of pediatrics]. Voprosy sovremennoy pediatrii. T. 11. no 6. [Current Pediatrics. Vol. 11, Issue 6]. 2012. Pp. 5–10. (In Russ.)
11. Upravleniye vzaimootnosheniyami vrachey i patsiyentov v meditsinskoy organizatsii i [Managing doctor-patient relations in a health facility]. Sotsial'nyye aspekty zdorov'ya naseleniya, no. 6. [Social aspects of population health. Issue 6], 2018. Available at: https://cyberleninka.ru/article/n/upravlenie-vzaimootnosheniyamivrachey-i-patsientov-v-meditsinskoy-organizatsii (accessed: 05 June 2020). (In Russ.)
12. AGS/UCLA: Individualize diabetes treatment regimens. Geriatrics. Vol.58. Issue 7. 2003. P. 18.
13. David M. Eddy Individualized Guidelines: The Potential for Increasing Quality and Reducing Costs. Medicine and Public Policy. Annals of Internal Medicine, 2011-2020. Available at: https://annals.org/aim/article-abstract/746954/individualizedguidelines-potential-increasing-quality-reducing-costs?searchresult=1 (accessed: 15 May 2020).
14. Lipkin M. Jr., Quill T.E., Napodano R.J. The medical interview: a core curriculum for residencies in internal medicine. Annals of Internal Medicine. Vol. 100, Issue 2. 1984. Pp. 277–284.
15. Wendy K. Nickel, Steven E. Weinberger, Phyllis A. Guze Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper. Annals of Internal Medicine. Vol. 169, Issue 11. 2018. Pp. 796–799. Available at: https://www.acpjournals.org/doi/10.7326/M18-0018 (accessed: 15 May 2020).