对比四类医疗歧视性用语词典，发现定义不统一且多含负面评价。
Understanding Stigmatizing Language Lexicons: A Comparative Analysis in Clinical Contexts
- 系统梳理四类医疗歧视性用语词典，比较其内容异同
- 多数歧视性词汇指向医生对患者行为的评判性表述
- 各词典中负面词汇占比高，但具体标准差异大
歧视性语言导致医疗不平等，但目前尚无公认的医疗领域歧视性用语词典。本文通过系统文献检索识别出四类现有词典，并进行对比分析：1）考察词典间的异同；2）基于已有情感数据集，分析术语的情感分布。结果显示，四类词典间语义相似度中等，大多数歧视性词汇与临床医生对患者负面行为的判断性描述相关。情感分析显示，各词典中负面词汇占主导，但具体分布存在差异。研究强调亟需建立标准化词典，也揭示了在临床文本中界定歧视性语言的挑战。
原文摘要 · Abstract (English)
Stigmatizing language results in healthcare inequities, yet there is no universally accepted or standardized lexicon defining which words, terms, or phrases constitute stigmatizing language in healthcare. We conducted a systematic search of the literature to identify existing stigmatizing language lexicons and then analyzed them comparatively to examine: 1) similarities and discrepancies between these lexicons, and 2) the distribution of positive, negative, or neutral terms based on an established sentiment dataset. Our search identified four lexicons. The analysis results revealed moderate semantic similarity among them, and that most stigmatizing terms are related to judgmental expressions by clinicians to describe perceived negative behaviors. Sentiment analysis showed a predominant proportion of negatively classified terms, though variations exist across lexicons. Our findings underscore the need for a standardized lexicon and highlight challenges in defining stigmatizing language in clinical texts.
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