医患纠纷媒体报道框架及其对医患信任的影响——以《人民日报》和《健康报》为例-《南京师大学报》（社会科学版）

文章信息/Info

Title:: A Frame Analysis of Doctor-Patient Disputes Reporting and ItsInfluence on Doctor-Patient Trust：Taking People’s Daily andJiankang Bao as Examples

Keywords:: frame theory; media frame; people’s cognition; doctor-patient trust

摘要:: 医患纠纷的媒介呈现方式影响受众对于医患关系的认知。在框架理论的基础上，本文以《人民日报》和《健康报》近十年间医患纠纷报道为研究对象，从报道数量、议题内容、话语主体和报道基调四个方面进行实证内容分析，探究在医患纠纷报道中特定媒体的报道框架。基于媒体框架对受众认知的影响机制，本文探讨《人民日报》和《健康报》医患纠纷报道的媒体框架对医患信任可能产生的影响。研究发现主流媒体所建立的医患纠纷报道框架都试图构建受众对于医患关系的积极认知，通过积极认知弱化医患危机意识；通过突出医疗行业对规范行业行为的重视和决心，提高医患信任中的制度信任；通过引起患方对医方的理解和共情，改善不良医方形象，提高患方信任；通过在医闹议题的报道中选择负面的报道基调，将医闹界定为害群之马，期待医方对患方形成积极的认知，提高医方信任；通过官方和专家学者的话语主体选择，体现主流媒体的权威性和可信性

Abstract:: The frame the media adopt to report doctor-patient disputes manipulates the way people receiveinformation and form cognition. Based on the frame theory，all the doctor-patient disputes reported on People’sDaily and Jiankang Bao（ literally Health News） during the latest ten years are taken as the objects for this study.The number of reports，reported contents，speech priorities and the tenor chosen for the report are the fouraspects to be examined，so as to reveal the exact framework of doctor-patient dispute reporting on People’sDaily and Jiankang Bao. With the help of the mechanism through which the media frame has an influence onpeople’s cognition，this paper tries to analyze how the media frame of doctor-patient dispute reporting willinfluence the doctor-patient trust. This study found both the two major newspapers tried to help people build apositive cognition on the doctor-patient relationship and weaken the crisis awareness；promote the institutionaltrust between doctors and patients by emphasizing the attention and determination on normalizing medicalbehaviors；improve the trust in doctors by making patients understand and show empathy for doctors；improvethe trust in patients by adopting a negative attitude towards the group of people who viciously disturbed medicalenvironment intentionally；show the authority and credibility of the major newspapers by taking the authorityand experts as the main sources of speech.