Lu Qianfeng, Schulz Peter J
Faculty of Communication, Culture and Society, Università della Svizzera italiana (USI), Lugano, Switzerland.
Department of Communication & Media, Ewha Womans University, Seoul, South Korea.
Adv Med Educ Pract. 2023 Sep 6;14:983-988. doi: 10.2147/AMEP.S425434. eCollection 2023.
The proliferation of misleading and irrelevant health information on the Internet has become a significant public concern. Inappropriate use of online materials can cause harm to patients' health and quality of life. While close attention has been paid to health campaigns and education programs that aim to disseminate accurate health knowledge, the role of physicians, who directly communicate with patients in medical encounters and provide personalized information, has been overlooked. Therefore, this study focuses on physicians and their communication strategies with internet-misinformed patients (IMPs).
This study aims to understand the communicative strategies physicians use to tackle IMPs and explore connections between physicians' communicative strategies and patient-centered communication.
Approximately 10 to 15 physicians from diverse cultural backgrounds, including Ticino (an Italian-speaking region in Switzerland), Milan and China will be interviewed. Interviews will be conducted in-person or online through video conferencing software programs. Physicians will be asked about their experiences with IMPs, communicative strategies for addressing patients' misconceptions, balancing patient preferences, decision-making obstacles, and envisioning an ideal relationship with them. A thematic analysis will be utilized to analyze data, employing a general inductive approach.
The results will provide valuable insights into effective clinical communication strategies that address patients' misuse of internet materials and inform policymakers and healthcare providers about the limitations and applicability of patient-centered communication in the current digital era.
互联网上误导性和不相关健康信息的泛滥已成为一个重大的公共问题。不当使用网络资料可能会对患者的健康和生活质量造成损害。虽然人们密切关注旨在传播准确健康知识的健康宣传活动和教育项目，但在医疗问诊中直接与患者沟通并提供个性化信息的医生的作用却被忽视了。因此，本研究聚焦于医生及其与受网络误导患者（IMPs）的沟通策略。
本研究旨在了解医生用于应对IMPs的沟通策略，并探索医生的沟通策略与以患者为中心的沟通之间的联系。
将采访约10至15名来自不同文化背景的医生，包括提契诺州（瑞士的一个讲意大利语的地区）、米兰和中国的医生。采访将通过面对面或使用视频会议软件在线进行。将询问医生关于他们与IMPs打交道的经历、解决患者误解的沟通策略、平衡患者偏好、决策障碍以及设想与他们建立理想关系等问题。将采用主题分析法对数据进行分析，采用一般归纳法。
研究结果将为解决患者不当使用网络资料的有效临床沟通策略提供有价值的见解，并让政策制定者和医疗服务提供者了解在当前数字时代以患者为中心的沟通的局限性和适用性。
