Department of Communication, University of Kentucky, Lexington,KY 40506-0042, USA.
Health Commun. 2009 Oct;24(7):575-87. doi: 10.1080/10410230903242184.
This field study considers the implications of the symbolic and material nature of physician identity for communication with patients. In-depth interviews of physicians across multiple organizational contexts reveal that physician identity is a discursive process of situated meaning in which particular configurations of beliefs, values, and actions are constructed within specific contexts. The content of individual physician identity was related to the general environment of medicine and its local medical context. The identities of physicians working in private practice were linked to the economic, legal, and social environment of medicine, whereas physicians working as employees had identities related to working in a setting that buffered the effects of the environment. Specific implications of the symbolic and material nature of physician identity for physician-patient communication are examined. Understanding physician identity is important to health communication scholarship because of the ongoing and central nature of physicians in health-care decision making and delivery.
本现场研究考虑了医生身份的象征和实质性质对与患者沟通的影响。对来自多个组织背景的医生进行的深入访谈显示，医生身份是一种话语意义建构过程，其中在特定情境中构建了特定的信念、价值观和行为组合。个体医生身份的内容与医学的一般环境及其当地的医学背景有关。在私人诊所工作的医生的身份与医学的经济、法律和社会环境有关，而作为雇员工作的医生的身份则与在一个可以缓冲环境影响的环境中工作有关。还考察了医生身份的象征和实质性质对医患沟通的具体影响。理解医生身份对于健康传播研究很重要，因为医生在医疗决策和提供方面一直处于核心地位。
