Hoffman Beth L, Cafferty Lauren A, Jain Parul, Shensa Ariel, Rosenthal Erica L, Primack Brian A, Sidani Jaime E
Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Center for Research on Media, Technology, and Health, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
J Health Commun. 2020 Feb 1;25(2):170-179. doi: 10.1080/10810730.2020.1723040. Epub 2020 Feb 3.
Previous research suggests that television programming may influence viewers' health-related knowledge, perceptions, and behaviors but has yet to examine patient-provider interactions on the most popular primetime television programs. We aimed to characterize the frequency and nature of patient-centered communication (PCC) behaviors on these programs, as cultivation and social cognitive theories suggest that these depictions may influence viewers' expectations of real-life health-care experiences. We examined 203 patient-provider interactions across 84 episodes of 22 primetime television programs-both medical and non-medical-that aired during the spring of 2016 and spring of 2017. Each interaction was analyzed for the presence of 21 optimal PCC behaviors. This study found that the most frequently observed PCC behaviors focused on the provider making good eye contact and displaying good manners. However, PCC behaviors related to managing patient uncertainty and self-management were rare. Overall, providers in medical programs were significantly more likely to exhibit certain PCC behaviors, such as asking a patient questions, having good manners, and self-disclosing personal information, compared to providers in non-medical programs. Implications of these findings include the potential for such depictions to influence patient expectations of real-life experiences and health outcomes. Future research is needed to examine these potential influences.
先前的研究表明,电视节目可能会影响观众与健康相关的知识、认知和行为,但尚未对最受欢迎的黄金时段电视节目中的医患互动进行研究。我们旨在描述这些节目中以患者为中心的沟通(PCC)行为的频率和性质,因为培养理论和社会认知理论表明,这些描述可能会影响观众对现实生活中医护体验的期望。我们研究了2016年春季和2017年春季播出的22部黄金时段电视节目(包括医疗和非医疗节目)的84集中的203次医患互动。对每次互动是否存在21种最佳PCC行为进行了分析。本研究发现,最常观察到的PCC行为集中在医护人员进行良好的眼神交流和展现良好的举止上。然而,与处理患者的不确定性和自我管理相关的PCC行为很少见。总体而言,与非医疗节目中的医护人员相比,医疗节目中的医护人员更有可能表现出某些PCC行为,如询问患者问题、举止得体和自我披露个人信息。这些发现的意义包括这种描述可能会影响患者对现实生活体验和健康结果的期望。需要未来的研究来检验这些潜在影响。