互联网医疗：线上医患交流模式、效果及影响机制

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Abstract Internet-based medical treatment is a medical practice actively encouraged by the state, of which online doctor-patient communication is an important part. During the COVID-19 pandemic, online doctor-patient communication has received wide attention and become an important medical option for the public. Based on in-depth interviews with online doctors and patients, according to the key roles of doctors and patients and the participation degree of patients, online doctor-patient communication can be categorized into four types: paternalistic style, consumption style, consultation style, and negotiation style. The paternalistic communication is very much like the traditional offline doctor-patient relationship, which is doctor-dominated, disease-centered, and problem-solving-oriented, and involves low participation of patients. The consumption style is also disease-centered, but patients are more actively involved in communication, and thus more important in the doctor-patient power relation. The consultation style is patient-centered, emphasizing medical humanism, doctor-patient communication and doctor-patient relationship. The negotiation style is an ideal equal doctor-patient communication. It is patient-centered and involves high patient participation. Online doctor-patient communication improves the effect of consultation and diagnosis. The effects of online consultation resulting from different doctor-patient communication modes are different. The major differences lie in patient satisfaction, curative effect, improvement of the patient's health and healthy behaviors, while the patient's expectations, the doctor's changes, technology empowerment and Internet environment are the specific mechanisms that result in the difference in the effects of consultation.

Key words： Internet-based medical treatment online medical treatment online consultation doctor-patient interaction doctor-patient relationship

Received: 12 October 2020

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G206.2

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CAO Bo-lin. Internet-based Medical Treatment: Online Doctor-Patient Communication, Effect and Influence[J]. , 2021, 38(1): 119-130.

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https://xb.szu.edu.cn/EN/ OR https://xb.szu.edu.cn/EN/Y2021/V38/I1/119

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