In recent years, the focus of international doctor-patient communication research has shifted from patients to shared decision-making (SDM) [1–2]; from medical activities to social behaviors [3–5]; from clinical medicine, to general practice, family care and community medicine; from single disease or gender to multiple diseases and genders [6–7]. The hot words of the studies published in the Web of Science from 1991 to 201 included communication (1374), care (758), physician (556), satisfaction (550), primary care (460), physician-patient relation (390), outcome (387), doctor-patient communication (350), health care (337), information (331), etc. These studies provide references to manage doctor-patient relationship based on communication in China.
An increasing number of medical-patient conflicts or disputes, especially those distorted by the media, necessitate that doctor-patient relationship should be emphasized in medical education . China is undergoing a systematic reform in medical system, aiming to provide safe, effective, convenient, and inexpensive health services to the people. In 2016, “Healthy China” was released as a national campaign to improve the health of people. In 2018, the Ministry of Education proposed the plan of "new medical education" with a focus on humanistic education. In this light, a harmonious doctor-patient relationship should be established nationwide through joint action. Therefore, doctor-patient information communication should be promoted from the perspective of stakeholders.
Tools helping patients to participate in decision-making (Patient Decision Aids, PtDAs) have been developed, such as Patient Decision Aids library OHRI-IRHO, Patient Decision Aids of Ottawa and the University of Sydney, Patient Decision Aids and Information of the Mayo Clinic in the United States. International Patient Decision Aid Standard (IPDAS) has been applied globally. Numerous scales for evaluating doctor-patient communication have been generated based on SDM and PtDAs, such as PCPS、dyadic OPTION[10–11]、DAS-O、DSAT-10、PDRQ − 15, etc. Bristol-Myers Squibb set out to build an organizational capability to communicate complex health topics to patients, called the Universal Patient Language™, or UPL .
Professor Mingjie Zhao introduced the concept of SDM into China , which was later translated SDM into "Shared Decision Making". In China, studies on SDM in doctor-patient communication mainly focused on the introduction of foreign theories before 2013, while after 2013, SDM in clinical doctor-patient communication was emphasized. However, no consensus has been reached on the design, evaluation and application of SDM in doctor-patient communication backgrounded by Chinese language, culture and health system . In recent years, Chinese scholars have conducted a series of studies on doctor-patient information communication.
DDPRQ-10 , a doctor-patient relationship scale in China, has been designed based on PDRQ − 15. Also, a system has been developed to evaluate doctor-patient relationship from the perspective of patients . In this system, clinical thinking and patient-oriented thinking are weighted at different stages of diagnosis and treatment . At the same time, the main factors affecting doctor-patient harmony are analyzed, such as resources, organization, implementation, results and some external factors. Based on 278 questionnaires survey of doctor-patient relationship, 5 factors have been set up, including government, hospital, medical personnel, the media and patients .
On the whole, studies in China display the following characteristics: First, most are conducted as micro-level studies, while there lack on macro-level researches concerning influencing factors or evaluation system of doctor-patient communication; second, most focus on either health providers or health receivers, while multidimensional investigations regarding doctor-patient as a dual subject are infrequent; Third, the sporadic studies on factors affecting doctor-patient relationship still lack large-sample data. Therefore, combining data generated from experience and literature, we designed a questionnaire to analyze the information communication between doctors and patients.
Therefore, the objective of this study is analyze the information communication between doctors and patients and influencing factors. Our findings are expected to provide suggestions for promoting doctor-patient communication in China.