School of Economics and Management, Beijing University of Posts and Telecommunications, Beijing 100876, China.
Guanghua School of Management, Peking University, Beijing 100871, China.
Int J Environ Res Public Health. 2020 Apr 9;17(7):2579. doi: 10.3390/ijerph17072579.
This study aims to understand the underlying reasons for poor doctor-patient relationships (DPR). While extant studies on antecedents of poor DPR mainly focus on the offline context and often adopt the patients' perspective, this work focuses on the mobile context and take both doctors' and mobile consultation users' perspectives into consideration. To fulfill this purpose, we first construct a theoretical framework based on the Computer-Mediated Communication (CMC) literature. Then we coded 592 doctor-user communication records to validate and elaborate the proposed theoretical model. This work reveals that characteristics of mobile technologies pose potential challenges on both doctors' and patients' information providing, informative interpreting, and relationship maintaining behaviors, resulting in 10 and 6 types of inappropriate behaviors of doctors and users, respectively, that trigger poor DPR in the mobile context. The findings enrich the research on online DPR and provide insights for improving DPR in the mobile context.
本研究旨在探讨医患关系（DPR）不良的深层次原因。虽然现有研究主要关注医患关系不良的前因，且大多采用患者的视角，但本研究聚焦于移动环境，同时考虑医生和移动咨询用户的视角。为了实现这一目标，我们首先基于计算机中介传播（CMC）文献构建了一个理论框架。然后，我们对 592 条医患沟通记录进行了编码，以验证和阐述所提出的理论模型。这项工作揭示了移动技术的特点对医生和患者的信息提供、信息解释和关系维护行为都构成了潜在挑战，导致医生和用户分别出现 10 种和 6 种不当行为，从而在移动环境中引发不良的医患关系。研究结果丰富了在线医患关系的研究，并为改善移动环境中的医患关系提供了启示。
