作　　者： (陈娟）; (赵宇佳）;

机构地区： 华南理工大学新闻与传播学院

出　　处： 《国际新闻界》 2017年第7期90-106,共17页

摘　　要： 儿科诊室发生医疗纠纷的几率要比其他科室高出许多。以广东省佛山市妇幼保健院儿科门诊室为个案,医生和患者这两组群体存在明显的认知不对等:一、医生认为医疗信息的不对等导致双方矛盾的发生,病人则认为,医疗信息之外的情感需求才是医患矛盾加深的症结所在;二、医生认为医患沟通是医患双方行为,而病人则认为沟通是医生行为。对此,医生应将自己视作医患关系建立的主导者,重视医疗"理想序列结构"中的"开始"部分,重视社会情感的抚慰,而非一味输出医疗信息;在就诊过程中,一旦出现患者"闹"的情绪和行为时,应积极挖掘患者的真实需求点。 The probability of medical disputes in pediatric ward is much higher than other offices. Taking the pediatric outpatient room in Maternal and Child Health Hospital of Foshan City as a case, we found that when it comes to the problem of the relationship, there is a sharp difference between the doctor and patient. There are two sort of asymmetry. One is that doctors belieue it＇s the imbalance in access to medical information that contributes to the conflicts between them,howeuer patients see that the emotional needs in addition to the medical information caused the conflicts between them. The other is that doctors see the physician-patient communication as a mutual interaction of two parties; On the contrary patients see the communication as the doctors＇ behavior. It is suggested the doctor has to control the dynamic in the relationship with a patient, and they also have to attach greater importance to the first part of ＂the ideal sequence organization＂, and shift the focus from providing medical information to placating social emotions. In the treatment process, once the patient has the mood or behavior of ＂medical trouble＂, doctor has to find the real need of him orher.

关 键 词： 认知 不对等 医患关系