我国医患关系研究的进路与省思

基于CiteSpace可视化分析工具，以“医患关系”为关键词，分析近年来传播学视域的医患关系研究议题与进程，发现医患关系研究出现从“媒介”到“人”的研究转向。其中以“媒介”为中心的医患关系视角注重医患关系的媒介呈现和媒介宣传，以“人”为中心的医患关系视角注重媒介使用与医患信任建构、媒介与患者健康意向行为关系及新型医患沟通模式分析。同时，探讨提升中国社会的医患关系研究路径，提出未来研究更应注重制度和文化等语境，跳出实证主义范式以及单一的“医−患”二元视角，以推动医患关系研究的均衡与系统化发展。

The Development and Reflections of Research on Physician-Patient Relationship in China

Based on CiteSpace visualization analysis tool, using "physician-patient relationship" as the keyword, we analyzed the research topics and progress of physician-patient relationship from the perspective of communication studies in recent years. It is found that there had been a shift in research on physician-patient relationships from "media" to "individuals" perspective. The "media-centered" perspective focused on media presentation and media publicity of physician-patient relationships, while the "individual-centered" perspective emphasized media use and physician-patient trust building, the relationship between media and patient health intention behavior, and the analysis of new physician-patient communication models. Additionally, to explore the research path and enhance the physician-patient relationship in Chinese society, it was proposed that the study in future should focus more on institutional and cultural contexts, move beyond positivist paradigm and avoid a singular "physician-patient" binary perspective, and promote the balanced and systematic development of physician-patient relationship research.