医患双向视角下“互联网+”医患关系认知差异及改进径路探析  

Exploration on Cognitive Differences and Improvement Approaches of "Internet+" Doctor-patient Relationship from the Dual Perspective of Doctors and Patients

作　　者：彭迎春[1] 段雪溪 PENG Yingchun;DUAN Xuexi(School of Medical Humanities/Center for Medical Humanities Research,Capital Medical University,Beijing 100069,China)

机构地区：[1]首都医科大学医学人文学院/医学人文研究中心,北京100069

出　　处：《中国医学伦理学》2023年第9期1022-1029,共8页Chinese Medical Ethics

基　　金：北京市社会科学基金项目“北京市医养结合服务应对老年健康脆弱研究”(22SRB008);北京市教育委员会社科计划一般项目“价值共创视域下‘互联网+’医患关系改进对策研究”(SM202010025006)。

摘　　要：“互联网+”的多维嵌入,使医疗领域的运行环境、服务方式、人际关系出现新的演变,推动传统的面对面就诊和医生占据主导地位的交往模式发生变革。基于医患双向视角,以“互联网+医疗”下利益相关者的诉求为切入点,分析“互联网+”对医患关系的双重影响,探索“互联网+”背景下医患关系的重构对策。研究发现:医生对“互联网+医疗”认知度不高,致使服务供给范围受限;患者对“互联网+医疗”认知度偏低,导致服务受众范围偏窄;“互联网+医疗”有助于提升医患双方资源的可及性;“互联网+医疗”存在致使医患双方风险递增的可能性。对此,提出如下改进对策:强化政府的监督管理,推动医患双方在线安全互动和有序交往;严查互联网平台的医生资质与信息管理,保障医患双方的合法权益;培育医生的医学人文素养,改善医患非技术层面的交往关系;提升患者的个人健康素养,秉持对医生和服务的适宜期许;敦促媒体客观公正的宣传报道,营造医患互信的良善氛围。The multi-dimensional embedding of“Internet+”has led to new evolutions in the operating environment,service methods,interpersonal relationships.in the medical field,and promoted the transformation of the traditional face-to-face consultation and the physician-dominated interaction model.Based on the dual perspective of doctors and patients,taking the demands of stakeholders under“Internet+Medical”as entry point,this paper analyzed the dual impact of“Internet+”on the doctor-patient relationship and explored the reconstruction countermeasures of doctor-patient relationship under“Internet+”.This paper found that the doctors' cognition of“Internet+Medical”was not high,leading to the limited scope of service supply,patients had a low awareness of“Internet+Medical”,resulting in a narrow range of service audiences,“Internet+Medical”helped to improve the accessibility of resources and had the possibility of increasing risks for both doctors and patients.In response,some countermeasures were proposed,including strengthening the government's supervision and management to promote the online safe interaction and orderly communication between doctors and patients,strictly investigating the qualifications of doctors and information management on internet platforms to protect the legitimate rights and interests of both doctors and patients,cultivating doctors' medical humanistic literacy to improve the non-technical communication relationship between doctors and patients,enhancing patients'personal health literacy and maintaining appropriate expectations of doctors and services,adhering to the appropriate expectations of doctors and services,and urging the media to promote and report objectively and impartially to create a good atmosphere of mutual trust between doctors and patients.

关 键 词：“互联网+” 医患关系 认知差异 医患互信 

分 类 号：R-052[医药卫生]