我国医患关系研究的进路与省思

The Development and Reflections of Research on Physician-Patient Relationship in China

基于CiteSpace可视化分析工具,以“医患关系”为关键词,分析近年来传播学视域的医患关系研究议题与进程,发现医患关系研究出现从“媒介”到“人”的研究转向。其中以“媒介”为中心的医患关系视角注重医患关系的媒介呈现和媒介宣传,以“人”为中心的医患关系视角注重媒介使用与医患信任建构、媒介与患者健康意向行为关系及新型医患沟通模式分析。同时,探讨提升中国社会的医患关系研究路径,提出未来研究更应注重制度和文化等语境,跳出实证主义范式以及单一的“医−患”二元视角,以推动医患关系研究的均衡与系统化发展。

Based on CiteSpace visualization analysis tool,using"physician-patient relationship"as the keyword,we analyzed the research topics and progress of physician-patient relationship from the perspective of communication studies in recent years.It is found that there had been a shift in research on physician-patient relationships from"media"to"individuals"perspective.The"media-centered"perspective focused on media presentation and media publicity of physician-patient relationships,while the"individual-centered"perspective emphasized media use and physician-patient trust building,the relationship between media and patient health intention behavior,and the analysis of new physician-patient communication models.Additionally,to explore the research path and enhance the physician-patient relationship in Chinese society,it was proposed that the study in future should focus more on institutional and cultural contexts,move beyond positivist paradigm and avoid a singular"physician�patient"binary perspective,and promote the balanced and systematic development of physician-patient relationship research.