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患者中心沟通方式对医疗满意度的影响:信息的视角
王沛1,刘思雨2,陈宇杰2,柏涌海3*
0
(1. 华东师范大学教育学部特殊教育系, 上海 200062;
2. 上海师范大学心理学系, 上海 200234;
3. 海军军医大学(第二军医大学)长征医院医学心理科, 上海 200003
*通信作者)
摘要:
医患互动中,患者中心沟通方式强调对患者的关怀和患者对治疗决策的参与。由于知识经验的不同,医患双方存在着巨大的信息不对称特征,沟通过程中疾病信息和治疗信息的数量及质量关系着患者对沟通效果的满意程度。医患沟通需要根据疾病的不同采取不同的沟通方式。此外,风险信息的对称性也影响着患者治疗的满意度。今后还需要从医患间信息匹配、患者信息认知心理机制及沟通促进技术等方面开展研究。
关键词:  患者中心沟通方式  疾病信息  治疗信息  信息框架  风险沟通
DOI:10.16781/j.0258-879x.2021.07.0797
投稿时间:2020-06-09修订日期:2020-09-27
基金项目:国家社会科学基金重大招标项目(17ZDA327).
Impact of patient-centered communication on medical service satisfaction: an information perspective
WANG Pei1,LIU Si-yu2,CHEN Yu-jie2,BAI Yong-hai3*
(1. Department of Special Education, Faculty of Education, East China Normal University, Shanghai 200062, China;
2. Department of Psychology, Shanghai Normal University, Shanghai 200234, China;
3. Department of Medical Psychology, Changzheng Hospital, Naval Medical University (Second Military Medical University), Shanghai 200003, China
*Corresponding author)
Abstract:
In doctor-patient interaction, the patient-centered communication focuses on patient care and patient participation in treatment decision-making. There is a huge information asymmetry between doctors and patients with different backgrounds of knowledge and experience. The quantity and quality of disease information and treatment information are related to the communication satisfaction. Different doctor-patient communication patterns should be chosen according to different diseases. In addition, the symmetry of risk information also affects the patients' treatment satisfaction. Future researches are needed from the perspectives of doctor-patient information matching, patient information cognitive psychological mechanism and communication promotion technology.
Key words:  patient-centered communication  disease information  treatment information  information framework  risk communication