| 医患风险沟通：角色与信息匹配的视角 |
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| 引用本文： | 张静,孙庆洲,吴宝. 医患风险沟通：角色与信息匹配的视角[J]. 心理科学进展, 2023, 31(1): 99-107. DOI: 10.3724/SP.J.1042.2023.00099 |
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| 作者姓名： | 张静 孙庆洲 吴宝 |
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| 作者单位： | 1.华东师范大学教育学部特殊教育学系, 上海 200062;2.浙江工业大学管理学院, 杭州 310023 |
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| 基金项目： | 浙江省自然科学基金项目(LY20C090011);国家自然科学基金项目(71942004);国家自然科学基金项目(71801193);教育部人文社科基金项目(18YJC630155) |
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| 摘 要： | 医患沟通失真常引发高误诊率、医患冲突。现有风险具体观和抽象观各自提出风险沟通模型,但存在诸多矛盾或不一致。通过引入角色与信息匹配视角,从建构水平理论提出事件体验(事件吸引力)和概率体验(概率敏感性)解释,有助于调和矛盾并提出建议：为医生匹配抽象风险信息、患者匹配具体风险信息,能减少沟通失真,提高风险沟通质量。未来需进一步深究个体差异对匹配效应的影响、探索匹配效应的生态效度、开发科学有效的沟通模式。
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| 关 键 词： | 风险沟通 建构水平 医患角色 信息匹配 |
| 收稿时间： | 2022-04-08 |
Risk communication between doctors and patients: Matching role and information |
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| ZHANG Jing,SUN Qing-Zhou,WU Bao. Risk communication between doctors and patients: Matching role and information[J]. Advances In Psychological Science, 2023, 31(1): 99-107. DOI: 10.3724/SP.J.1042.2023.00099 |
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| Authors: | ZHANG Jing SUN Qing-Zhou WU Bao |
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| Affiliation: | 1.Department of Special Education, Faculty of Education, East China Normal University, Shanghai 200062, China;2.School of Management, Zhejiang University of Technology, Hangzhou 310023, China |
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| Abstract: | Distortion of doctor-patient communication often leads to high misdiagnosis rate and conflict. How to scientifically and effectively carry out risk communication between doctors and patients? This is a hot spot in recent years, such as "Nature", "Science" and other journals and it is also an important issue that our country needs to overcome urgently. Two types of risk theories have been proposed to explain this. Among them, the concrete representational of risk communication believes that risk information is difficult to understand, and if the risk information is concreted, risk communication distortion can be reduced; the abstract representational of risk communication believes that abstract risk information is convenient for transmission, if risk information is abstracted, risk communication distortion can be reduced. These two contradictory risk concepts are difficult to provide accurate solutions for clinical doctor-patient communication, and it is also difficult to explain why sometimes the risk concretization is better, and sometimes the risk abstraction is better. |
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| Keywords: | risk communication construal level doctor-patient role information matching |
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