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增进利益相关者对媒体关于医患关系问题报道的理解:中国背景下的信任、陌生感与不确定性

Toward stakeholders' understanding of media reporting on doctor-patient relationship issues: trust, unfamiliarity and uncertainty in the Chinese context.

作者信息

Gao Zhenghan, Huang Junyang, Zhang Bowen, Zhang Xinwen

机构信息

School of Humanities and Foreign Languages, Qingdao University of Technology, Qingdao, China.

School of Media, Film and Television, Jiangsu Normal University, Xuzhou, China.

出版信息

Front Public Health. 2024 Nov 20;12:1484828. doi: 10.3389/fpubh.2024.1484828. eCollection 2024.

DOI:10.3389/fpubh.2024.1484828
PMID:39635222
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11614817/
Abstract

INTRODUCTION

This study explores doctors' and patients' understandings of citizen journalism on doctor-patient relationship issues. It also examines the communication effect of citizen journalism as a communication platform on doctors and patients who are taking part in the doctor-patient relationship in contemporary China.

METHOD

This study draws on the analysis of 24 semi-structured interviews with doctors from both publicly funded and privately operated hospital, and nine focus groups which included 36 patients with different socio-economic backgrounds.

RESULT

The empirical research present the following results: (1) authority and witness are the two key factors to construct the stakeholders'(doctors' and patients') awareness and trust of citizen journalist reporting on the doctor-patient relationship issues. (2) stakeholders' perception on citizen journalism will construct them concern on the uncertain and unfamiliar knowledge during the hospital activities.

DISCUSSION

The interpretation of doctor-patient relationship reports by doctors and patients affects their mutual trust. Authority and witnessing are two key factors that citizen journalists should consider when reporting on doctor-patient relationship news. Doctors from different types of hospitals and patients with different income levels have different understandings of the authority and witnessing of the reported content. Reading the content of doctor-patient conflicts reflected in citizen journalist reports can exacerbate the emotional fluctuations of doctors and patients. After reading these reports, doctors and patients may experience increased anxiety about uncertainty and unfamiliarity in doctor-patient communication.

CONTRIBUTION

This study provides a framework for public health research from the relationship between communication content and audience. It also provides answers from the perspectives of media and stakeholders to investigate the tension in doctor-patient relationships in China.

摘要

引言

本研究探讨医生和患者对公民新闻在医患关系问题上的理解。它还考察了作为一种传播平台的公民新闻对当代中国参与医患关系的医生和患者的传播效果。

方法

本研究对来自公立医院和私立医院的医生进行了24次半结构化访谈分析,并对9个焦点小组进行了分析,这些焦点小组包括36名具有不同社会经济背景的患者。

结果

实证研究呈现以下结果:(1)权威性和见证性是构建利益相关者(医生和患者)对公民记者报道医患关系问题的认知和信任的两个关键因素。(2)利益相关者对公民新闻的认知会使他们关注医院活动中不确定和不熟悉的知识。

讨论

医生和患者对医患关系报道的解读会影响他们之间的相互信任。权威性和见证性是公民记者在报道医患关系新闻时应考虑的两个关键因素。不同类型医院的医生和不同收入水平的患者对报道内容的权威性和见证性有不同的理解。阅读公民记者报道中反映的医患冲突内容会加剧医生和患者的情绪波动。阅读这些报道后,医生和患者可能会对医患沟通中的不确定性和不熟悉感到更加焦虑。

贡献

本研究从传播内容与受众的关系为公共卫生研究提供了一个框架。它还从媒体和利益相关者的角度为调查中国医患关系紧张状况提供了答案。

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