信息生态理论视域下医患有效沟通目标及策略研究  

Research on the goals and strategies of effective doctor-patient communication from the perspective of information ecology theory

作　　者：孙华阳 赵冬梅 任素娟 SUN Huayang;ZHAO Dongmei;REN Sujuan(School of Health Management Modern Industry,Jinzhou Medical University,Jinzhou 121001,China;School of Health Humanities,Jinzhou Medical University,Jinzhou 121001,China)

机构地区：[1]锦州医科大学健康管理现代产业学院,辽宁锦州121001 [2]锦州医科大学医学人文学院,辽宁锦州121001

出　　处：《中国医学伦理学》2025年第1期109-115,共7页Chinese Medical Ethics

基　　金：2022年度四川医事卫生法治研究中心—中国卫生法学会“医养结合健康养老服务体系优化策略及法治保障研究”(YF22-Y07);2023年度四川医事卫生法治研究中心—中国卫生法学会“积极老龄化背景下养老政策治理与法律规制研究”(YF23-Y10);2023年度辽宁省社会科学规划基金“辽宁医养结合健康养老服务体系优化策略研究”(L23BSH011)。

摘　　要：医患沟通不仅取决于医方群体,还受到患方群体和具体情境的影响,医患之间有效的沟通需要医方提高沟通能力,也需要患方具有某一症状或疾病的相关知识以及医患双方的相互信任。信息生态理论主要从生态系统视角分析信息活动过程中各生态要素关系以及生态发展机理,重视系统内信息主客体、信息内容、信息环境、信息技术等的相互影响和作用,这与医患沟通的影响因素有着一致性。基于信息生态理论,从信息主客体、信息本身、信息情境、信息技术四个维度,分析信息技术环境下医患沟通面临的新问题,提出医患有效沟通需要重新审视医患沟通的影响因素,构建医患共同体,包括知识共同体、交流共同体、情感共同体和利益共同体,使医患沟通四因子在动态发展中形成新的平衡,以期为医患信任、医患有效沟通提供实践指导。Doctor-patient communication not only depends on the medical group but is also affected by the patient group and the specific situation.Effective doctor-patient communication requires the doctors to improve their communication skills,the patients to have relevant knowledge regarding a certain symptom or disease,and mutual trust between the doctor and patient.The information ecology theory mainly analyzes the relationships between various ecological elements and the ecological development mechanisms in the process of information activities from the perspective of the ecosystem,as well as attaches importance to the mutual influences and roles of information subjects and objects,information contents,information environment,and information technology within the system,which is consistent with the influencing factors of doctor-patient communication.Based on the information ecology theory,this paper analyzed the new problems faced by doctor-patient communication under the information technology environment from the four dimensions,including information subjects and objects,information itself,information context,and information technology.It was proposed that effective doctor-patient communication required to re-examine the influencing factors of doctor-patient communication,as well as construct a doctor-patient community,including a community of knowledge,communication,emotion,and interest,so that the four factors of doctor-patient communication can form a new balance in the dynamic development,with a view to providing practical guidance for doctor-patient trust and effective doctor-patient communication.

关 键 词：信息生态理论 医患沟通 信息技术 医患共同体 

分 类 号：R-052[医药卫生]