Giao tiếp bác sĩ-bệnh nhân trong loạt phim truyền hình y khoa “House M.D.”

Nguyễn Hữu Nhật Tân và Trần Thị Thảo Phương *

* Người chịu trách nhiệm về bài viết: (tttphuong@hueuni.edu.vn)

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Ngày nhận bài: 14-11-2025
Ngày nhận bài sửa: 15-01-2026
Ngày duyệt đăng: 19-01-2026
Ngày xuất bản: 20-08-2026
Title: A RIAS analysis of doctor-patient communication dynamics in the TV series “House M.D.”
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Tan, N. H. N., & Phuong, T. T. T. (2026). Giao tiếp bác sĩ-bệnh nhân trong loạt phim truyền hình y khoa “House M.D.”. Tạp chí Khoa học và Giáo dục, 66(04). Truy vấn từ https://tckhgd.dhsphue.edu.vn/index.php/jse/article/view/451
Số tạp chí
Tập. 66 Số. 04 (2026): Tạp chí Khoa học và Giáo dục: Khoa học Giáo dục
Chuyên mục
Tạp chí Khoa học và Giáo dục: Khoa học Giáo dục

Abstract

This study provides the first quantitative analysis of doctor-patient communication in the acclaimed television series House M.D. Using the Roter Interaction Analysis System (RIAS), this study quantitatively examines House-patient communication in ten episodes of the TV series to measure three key structural indices: the Verbal Dominance Ratio (VDR), Content Balance Ratio (CBR), and Communication Control Ratio (CCR). The findings revealed a central paradox: while the VDR indicated surprising parity in speaking turns, in contrast to real-world clinical practice, the CBR showed that dialogue was overwhelmingly biomedical-dominant. Furthermore, a seemingly patient-controlled dynamic (CCR > 1.0) was found to be a statistical artifact, driven primarily by Dr. House’s extensive information-giving rather than genuine patient initiative. We conclude that House M.D. presents a compelling but misleading model of communication, co-opting the form of patient participation to reinforce the physician’s singular diagnostic authority.
Keywords: Doctor-Patient Communication, House M.D., Roter Interaction Analysis System (RIAS), Verbal dominance, Communication control

Tóm tắt

Nghiên cứu này trình bày phân tích định lượng về giao tiếp bác sĩ-bệnh nhân trong loạt phim truyền hình nổi tiếng “House M.D.”. Bằng cách sử dụng Hệ thống Phân tích Tương tác Roter (RIAS), nghiên cứu này khảo sát mười tập phim của loạt phim để đo lường ba chỉ số cấu trúc chính: Tỷ lệ Áp đảo bằng lời nói (VDR), Tỷ lệ Cân bằng Nội dung (CBR), và Tỷ lệ Kiểm soát Giao tiếp (CCR). Kết quả cho thấy một nghịch lý: dù VDR cho thấy sự cân bằng đáng ngạc nhiên về lượt lời, trái ngược với thực tế lâm sàng, CBR lại cho thấy đối thoại thiên về y sinh một cách áp đảo. Hơn nữa, một động thái tưởng chừng do bệnh nhân kiểm soát (CCR > 1.0) thực chất là tạo tác thống kê, chủ yếu bắt nguồn từ việc Bác sĩ House cung cấp thông tin một cách sâu rộng thay vì từ sự chủ động thực sự của bệnh nhân. Chúng tôi kết luận rằng House M.D. đã trình bày một mô hình giao tiếp hấp dẫn nhưng dễ gây hiểu lầm, trong đó hình thức tham gia của bệnh nhân chỉ được vay mượn để củng cố quyền lực chẩn đoán duy nhất của người bác sĩ.
Từ khóa: Giao tiếp bác sĩ-bệnh nhân, House M.D., Hệ thống Phân tích Tương tác Roter (RIAS), Áp đảo bằng lời nói, Kiểm soát giao tiếp

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