a Department of Communication , Texas A&M University.
b Department of Communication Studies , University of Georgia.
Health Commun. 2018 May;33(5):636-642. doi: 10.1080/10410236.2017.1290015. Epub 2017 Mar 10.
The physician-patient relationship in China is highly strained. This study examined the professional identity of physicians and their perceptions of the physician-patient relationship against the backdrop of the rise of health consumerism in China. Structured interviews with 29 physicians found that the marketization of medical care and the rise of health consumerism caused physicians to have a conflicted professional identity. The traditional bureaucratic relationship between physicians and patients based on implicit trust was gradually replaced by an arm's length relationship characterized by self-interest, opportunism, and mistrust. In addition, the transition from physician-centered communication to patient-centered communication in China was tenacious. Theoretical and practical implications of the current study are discussed.
中国的医患关系高度紧张。本研究考察了在医疗保健市场化和健康消费主义兴起的背景下，医生的职业认同及其对医患关系的看法。对 29 名医生进行了结构化访谈，发现医疗服务的市场化和健康消费主义的兴起导致医生产生了矛盾的职业认同。基于隐性信任的传统医患官僚关系逐渐被以自利、机会主义和不信任为特征的距离关系所取代。此外，中国从以医生为中心的沟通向以患者为中心的沟通的转变非常顽强。讨论了本研究的理论和实践意义。
