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Impact of adverse media reporting on public perceptions of the doctor–patient relationship in China: an analysis with propensity score matching method

OBJECTIVES: Numerous studies indicate that the doctor–patient relationship in China is facing serious challenges. This study examined the impact of China Central Television’s negative coverage of high medicines prices on both doctors’ and patients’ opinions of the doctor–patient relationship. SETTIN...

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Autores principales: Sun, Jing, Liu, Shiyang, Liu, Qiannan, Wang, Zijuan, Wang, Jun, Hu, Cecile Jia, Stuntz, Mark, Ma, Jing, Liu, Yuanli
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104794/
https://www.ncbi.nlm.nih.gov/pubmed/30121612
http://dx.doi.org/10.1136/bmjopen-2018-022455
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author Sun, Jing
Liu, Shiyang
Liu, Qiannan
Wang, Zijuan
Wang, Jun
Hu, Cecile Jia
Stuntz, Mark
Ma, Jing
Liu, Yuanli
author_facet Sun, Jing
Liu, Shiyang
Liu, Qiannan
Wang, Zijuan
Wang, Jun
Hu, Cecile Jia
Stuntz, Mark
Ma, Jing
Liu, Yuanli
author_sort Sun, Jing
collection PubMed
description OBJECTIVES: Numerous studies indicate that the doctor–patient relationship in China is facing serious challenges. This study examined the impact of China Central Television’s negative coverage of high medicines prices on both doctors’ and patients’ opinions of the doctor–patient relationship. SETTING: Data were collected in a national survey conducted during 19 December 2016 to 11 January 2017 which targeted 136 public tertiary hospitals across the country. PARTICIPANTS: All patients and doctors who submitted completed questionnaire were retrieved from the survey database. INTERVENTION: The study used propensity score matching method to match the respondents before and after China Central Television’s news report about high medicines prices which was given at 00:00 hours on 24 December 2016. OUTCOME MEASURE: Perception scores were calculated based on the five-point Likert scales to measure the opinions of the doctor–patient relationship. RESULTS: The perception scores of the doctor–patient relationship were significantly affected by the negative media coverage for hospitalised patients, who scored 1.18 lower on the doctor–patient relationship following the report (p=0.006, 95% CI 0.34 to 2.02), and doctors who scored 5.96 points lower on the same scale (p<0.001, 95% CI 4.11 to 7.82). Score for the ambulatory patients was unaffected by exposure to the adverse news report (p=0.05). CONCLUSION: Chinese national media’s reporting of adverse news negatively affected the perceptions of the doctor–patient relationship among both inpatients and doctors. A better understanding of the role of mass media in the formation of opinion and trust between doctors and patients may permit strategies for managing the media, in order to improve public perceptions of the doctor–patient relationship.
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spelling pubmed-61047942018-08-24 Impact of adverse media reporting on public perceptions of the doctor–patient relationship in China: an analysis with propensity score matching method Sun, Jing Liu, Shiyang Liu, Qiannan Wang, Zijuan Wang, Jun Hu, Cecile Jia Stuntz, Mark Ma, Jing Liu, Yuanli BMJ Open Public Health OBJECTIVES: Numerous studies indicate that the doctor–patient relationship in China is facing serious challenges. This study examined the impact of China Central Television’s negative coverage of high medicines prices on both doctors’ and patients’ opinions of the doctor–patient relationship. SETTING: Data were collected in a national survey conducted during 19 December 2016 to 11 January 2017 which targeted 136 public tertiary hospitals across the country. PARTICIPANTS: All patients and doctors who submitted completed questionnaire were retrieved from the survey database. INTERVENTION: The study used propensity score matching method to match the respondents before and after China Central Television’s news report about high medicines prices which was given at 00:00 hours on 24 December 2016. OUTCOME MEASURE: Perception scores were calculated based on the five-point Likert scales to measure the opinions of the doctor–patient relationship. RESULTS: The perception scores of the doctor–patient relationship were significantly affected by the negative media coverage for hospitalised patients, who scored 1.18 lower on the doctor–patient relationship following the report (p=0.006, 95% CI 0.34 to 2.02), and doctors who scored 5.96 points lower on the same scale (p<0.001, 95% CI 4.11 to 7.82). Score for the ambulatory patients was unaffected by exposure to the adverse news report (p=0.05). CONCLUSION: Chinese national media’s reporting of adverse news negatively affected the perceptions of the doctor–patient relationship among both inpatients and doctors. A better understanding of the role of mass media in the formation of opinion and trust between doctors and patients may permit strategies for managing the media, in order to improve public perceptions of the doctor–patient relationship. BMJ Publishing Group 2018-08-17 /pmc/articles/PMC6104794/ /pubmed/30121612 http://dx.doi.org/10.1136/bmjopen-2018-022455 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Public Health
Sun, Jing
Liu, Shiyang
Liu, Qiannan
Wang, Zijuan
Wang, Jun
Hu, Cecile Jia
Stuntz, Mark
Ma, Jing
Liu, Yuanli
Impact of adverse media reporting on public perceptions of the doctor–patient relationship in China: an analysis with propensity score matching method
title Impact of adverse media reporting on public perceptions of the doctor–patient relationship in China: an analysis with propensity score matching method
title_full Impact of adverse media reporting on public perceptions of the doctor–patient relationship in China: an analysis with propensity score matching method
title_fullStr Impact of adverse media reporting on public perceptions of the doctor–patient relationship in China: an analysis with propensity score matching method
title_full_unstemmed Impact of adverse media reporting on public perceptions of the doctor–patient relationship in China: an analysis with propensity score matching method
title_short Impact of adverse media reporting on public perceptions of the doctor–patient relationship in China: an analysis with propensity score matching method
title_sort impact of adverse media reporting on public perceptions of the doctor–patient relationship in china: an analysis with propensity score matching method
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104794/
https://www.ncbi.nlm.nih.gov/pubmed/30121612
http://dx.doi.org/10.1136/bmjopen-2018-022455
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