互联网医患功能沟通质量内涵模型构建

在前期研究开发互联网医患功能沟通质量测量工具的基础上，通过实证研究，采用偏最小二乘结构方程模型方法,构建了互联网医患功能沟通质量内涵模型，并评价了模型的推广价值。这为改善医患双方功能沟通行为、提高沟通质量提供了参考依据。     

互联网医患功能沟通质量综合评价研究

在前期研究基础上,参考TOPSIS综合评价法,对我国互联网医患功能沟通质量进行综合评价。比较了不同患者主动程度组、不同医院级别组、不同医生职称组的沟通质量水平差异,认为在互联网医患沟通中,提升患者主动程度、选择高级别的医院和高职称的医生,对于促进互联网医患功能沟通质量水平提升具有重要意义。     

医患沟通的障碍

医患沟通是医患关系的重要组成部分,已经引起了研究人员和医护人员的重视.但是实现医患沟通还有很多障碍.文章从医患关系物化、诚信危机、人文关怀缺失、沟通艺术缺乏、信息不对称等5个方面概括了造成医患沟通障碍的因素,并指出人文精神与科学精神的融合是实现医患沟通的关键.     

建立医学生医患沟通能力培养体系研究初探

本文通过分析建立医学生医患沟通能力培养体系的重要性和国外先进的培养经验，探索制定一个全面、系统、可操作性强的医学生医患沟通能力规范化培养的指标体系，作为培养、评价医学生医患沟通能力的工具，用于医学生医患沟通能力的规范化培养，以提高医学生的医患沟通能力。     

医患沟通问题初探

沟通也称交流，是人与人之交换意见、观点和情感的过程。医患沟通有助于医生了解患者的心身健康，更准确地判断出患者面临的问题，同时向患者提供正确的信息，指导下一步的治疗。医患沟通是实现以患者为中心，减轻患者心身痛苦，创造最佳心身状态的需要，也是促进医患问理解与支持，提高治疗效果的需要。     

实施医患沟通制改善医患关系

为改善医患关系，促进医患沟通，全面实施了“医患沟通制”。明确了“医患沟通制”的内容。“医患沟通制”的运作方法：加强培训，改变服务观念；将“医患沟通”纳入质量管理；运用“医患沟通制”专项调查表；掌握多种沟通技巧。为“医患沟通制”提供组织、人员、制度保障。“医患沟通制”的实施，取得了较明显的效果。     

医患沟通信息服务平台的构建

介绍了建立医患沟通信息服务平台的意义、平台系统的构成和主要功能、平台的科学性和创新性。该平台畅通了医患沟通渠道,拓宽了服务范畴,提升了服务水平,具有广阔的推广和发展前景。     

浅析互联网医疗中的医患关系

通过文献研究和经验总结法,归纳我国互联网医疗的现状特点,并系统分析互联网医疗对构建新型医患关系的有利影响和不利影响.互联网医疗有助于推动转变医患关系模式,促进医患关系多元化发展,降低就医成本,增进医患沟通,但其在医疗质量、数据隐私、行业监管和负面效应方面的风险也亟待重视.在互联网医疗中保持医患关系良性发展的策略需要政府...     

加强医患沟通 防范纠纷发生

加强医患沟通是防范医疗纠纷的重要手段，对减少医疗纠纷的发生具有十分重要的意义。目前医疗纠纷的成因主要是医务人员的服务态度、道德素养、技术水平欠佳，医疗机构的管理不到位以及患者及家属的主观意识等因素造成。加强医患沟通可取得医患之间的相互理解、相互信任、相互谅解，并可取得医患之间的密切合作，也是尊重患者的重要表现。要想使医患沟通更加顺利并想获得比较全面的信息，应主要做好以下几个方面的工作：（1）提高自身素质，增加沟通的知识性和通俗性；（2）因人而异，增加沟通的灵活性和亲切感；（3）认真倾听，鼓励病人积极暴露信息；（4）实事求是，确保沟通信息的真实性。     

分娩过程中的医患沟通与风险防范

分娩过程中医患沟通在降低医疗风险中起非常重要的作用.医患沟通是指:医护人员就患者的就诊原因、就诊目的、初步诊断、特需检查、治疗方案选择、各种治疗方案预后和检测与患者进行交流、知情告知和选择并最终实施的过程.医患沟通有助于患者疾病的诊断及治疗,满足患者对医疗信息的需求,密切医患关系,促进医患关系的和谐,减少医疗纠纷.     

Factors Influencing Communication with Doctors via the Internet: A Cross-Sectional Analysis of 2014 HINTS Survey

Based on Street’s (2003) ecological framework of communication in medical encounters, this study examined personal, interpersonal, and media factors that could influence patients’ use of the Internet to communicate with doctors. Results from data analysis of responses from the 2014 Health Information National Trends Survey showed that patient activation and ease of Internet access were two positive predictors of online doctor-patient communication. In addition, patients’ trust in doctors positively moderated the relationships between patient activation and online doctor-patient communication, and between perceived health status and online doctor-patient communication. Finally, the quality of patients’ past experiences communicating with doctors had a positive moderation effect on the association between health information seeking behavior and online doctor-patient communication. Implications and limitations are discussed.     

72名医务人员医患沟通能力调查分析

通过对72名医务人员医患沟通能力的调查与分析,发现当前医务人员比较看重医学专业知识和能力,而忽略了人文社科知识的提高。所以转变传统的医学教育观念,在医学教育中加强人文素质教育,是提高医务人员医患沟通能力的一个重要环节。     

Limiting factors on the transformative powers of e-mail in patient-physician relationships: a critical analysis

In this article I analyze doctor-patient use of e-mail within the context of the evolving doctor-patient relationship and ongoing changes in the U.S. health care system. Evidence from the published literature on doctor-patient relationships and doctor-patient communication, empirical studies of uses of the Internet by doctors and patients, and commentaries about the Internet's role in health care are examined and discussed to reveal common, unsupported assumptions about the likely impact of e-mail on the doctor-patient relationship and also the value structure associated with current e-mail practices between doctors and patients. I argue that existing research does not adequately account for the technical, professional, and economic forces that are shaping doctor-patient use of e-mail. I conclude that physicians' preferences for technical, instrumental exchanges with patients will likely mitigate the positive influence that e-mail could have on the doctor-patient relationship, and doctor-patient communication is unlikely to improve as a result of their use of e-mail.     

加强医患沟通 努力构建和谐医患关系

医患沟通是整个医疗过程的一个重要环节，实施医患沟通是病人和家属的迫切需求，也是提高医疗服务质量和当前医院生存发展的需要，加强医患沟通可以增强医务人员与患者之间的相互理解，增加患者对医务人员及医院的信任，增强患者战胜疾病的信心，良好的医患沟通是构建和谐医患关系，减少医患纠纷的有效方法之一。     

加强医患沟通是构建和谐医患关系的保障

文章提出了医患沟通的规范内容和要求。医生要掌握医患沟通的技巧和方法,提高沟通的有效性。加强医患沟通管理,建立医患沟通考评标准,提高医患双方满意度。     

Social determinants of health in Canada: Are healthy living initiatives there yet? A policy analysis

Objective

In recent years, the importance of social differences in the physician-patient relationship has frequently been the subject of research. A 2002 review synthesised the evidence on this topic. Considering the increasing importance of social inequalities in health care, an actualization of this review seemed appropriate.

Methods

A systematic search of literature published between 1965 and 2011 on the social gradient in doctor-patient communication. In this review social class was determined by patient's income, education or occupation.

Results

Twenty original research papers and meta-analyses were included. Social differences in doctor-patient communication were described according to the following classification: verbal behaviour including instrumental and affective behaviour, non-verbal behaviour and patient-centred behaviour.

Conclusion

This review indicates that the literature on the social gradient in doctor-patient communication that was published in the last decade, addresses new issues and themes. Firstly, most of the found studies emphasize the importance of the reciprocity of communication. Secondly, there seems to be a growing interest in patient's perception of doctor-patient communication.

Practice implications

By increasing the doctors' awareness of the communicative differences and by empowering patients to express concerns and preferences, a more effective communication could be established.     

The use of the Internet by women with breast cancer and men with prostate cancer-results of online research

Introduction Patients are increasingly searching the Internet for information on health-related topics. Research design We examined the use of the Internet by women with breast cancer and men with prostate cancer with an online questionnaire. On the basis of 563 respondents, the ways, the scope, and the targets of the reported Internet search were analyzed, as well as the related expectations and experiences of the users. A special focus was laid on the question of how Internet information influences the illness-related decision-making processes and the doctor-patient relationship. Results While trust in physicans and their medical authority is not being fundamentally questioned, patients are increasingly confronting their doctors with high expectations concerning transparent information, openness, and willingness to shared decision-making; they want to know the doctors’ opinions on various possibilities of treatment, and they expect serious comment on their findings in the Net.     

Probing, impelling, but not offending doctors: the role of the internet as an information source for patients' interactions with doctors

The Internet has become a major health information source for many patients, and they might discuss the information they get from the Internet with their doctors. I explored how the Internet as an information source influences cancer patients' communication with their doctors in Taiwan, where the doctor-patient relationship is traditionally doctor dominated. Forty-six cancer patients or families participated in seven focus group discussions. I conducted inductive analysis to examine themes emerging from discussions. Participants searched for information on the Internet to probe and verify their doctors' competence. Participants took responsibility for understanding the doctors' jargon, and the Internet helped them to do that. The Internet also helped participants spur doctors to think further about their condition, but these patients did so cautiously, with an effort not to offend doctors. The Internet as an information source did help participants talk to doctors, but the effect on changing the doctor-dominant nature of the relationship was limited.