Department of Communications and New Media, National University of Singapore, Singapore.
Department of Communication, Texas A&M University, College Station, TX, USA.
Glob Health Promot. 2019 Dec;26(4):33-43. doi: 10.1177/1757975917749197. Epub 2018 Mar 9.
Patient empowerment is a relatively new concept in the context of the Chinese health care system. Based on Street's ecological framework of communication in healthcare settings, this study examined the social, clinical and media factors that could empower patients. Results from a survey of 401 Chinese adults (response rate, 34%) showed that respondents felt more empowered as health care consumers when they reported having more social capital bonding and bridging, and used the Internet for health purposes more often. Importantly, having had more positive patient-centered communicative experiences with health care providers not only predicted patient empowerment, it also moderated the effects of bridging social capital and Internet use on empowerment. Specifically, the more positive the experience of interacting with health care providers, the weaker the effects of bridging social capital and Internet use on patient empowerment. The findings have important implications for patient empowerment in health care, particularly within the context of China.
患者赋权在中国医疗体系中是一个相对较新的概念。本研究基于 Street 在医疗环境中的生态沟通框架，考察了能够赋予患者权力的社会、临床和媒体因素。对 401 名中国成年人（回应率为 34%）的调查结果显示，当受访者报告拥有更多的社交资本联系和桥接，并且更频繁地使用互联网进行健康目的时，他们作为医疗消费者感到更有权力。重要的是，与医疗保健提供者有更多积极的以患者为中心的沟通体验不仅预测了患者赋权，还调节了桥接社会资本和互联网使用对赋权的影响。具体来说，与医疗保健提供者互动的体验越积极，桥接社会资本和互联网使用对患者赋权的影响就越弱。这些发现对医疗保健中的患者赋权具有重要意义，特别是在中国的背景下。
