School of Journalism and Communication, Tsinghua University, Beijing, Haidian, China.
Faculty of Humanities and Arts, Macau University of Science and Technology, Macau, Taipa, China.
J Health Commun. 2022 Mar 4;27(3):164-172. doi: 10.1080/10810730.2022.2071505. Epub 2022 May 17.
Physician-patient conflicts are detrimental to doctor-patient relationship and sustainable healthcare delivery. In China, the status quo of the doctor-patient relationship is in great tension. Based on the uncertainty reduction theory (URT), the present study examined the relationship between patient-centered communication (PCC) and medical conflict, as well as the roles of perceived patients' trust, doctors' empathy, and expertise from physicians' perspectives. In March 2020, 509 physicians in China were recruited to participate in an online survey. The results revealed that PCC was negatively associated with physician-patient conflicts and that patient trust mediated the relationship. Additionally, doctors' empathy moderated PCC on patient trust, while expertise positively predicted physician-patient conflicts. Theoretical and practical implications for improving doctor-patient relationships were discussed.
医患冲突不利于医患关系和可持续医疗服务的提供。在中国，医患关系的现状非常紧张。基于减少不确定性理论（URT），本研究从医生的角度探讨了以患者为中心的沟通（PCC）与医疗冲突之间的关系，以及患者信任、医生同理心和专业知识的作用。2020 年 3 月，中国招募了 509 名医生参与在线调查。结果表明，PCC 与医患冲突呈负相关，患者信任在其中起中介作用。此外，医生同理心调节了 PCC 对患者信任的影响，而专业知识则正向预测了医患冲突。讨论了改善医患关系的理论和实践意义。
