IP4 healthcare: The physician-patient relationship in the adoption and everyday life integration process of digital media for chronic disease self-management

IP4医疗保健：慢性病自我管理数字媒体采用和日常生活整合过程中的医患关系

• 批准号: 524813922
• 负责人: Dr. Claudia Riesmeyer
• 金额: --
• 依托单位: Institut für Kommunikationswissenschaft und Medienforschung
• 依托单位国家: 德国
• 项目类别: Research Units
• 资助国家: 德国
• 项目状态: 未结题
• 来源: https://gepris.dfg.de/gepris/projekt/524813922?language=en
• 关键词: IP4; healthcare; physician; patient; relationship

Background: Digitalization and individualization as megatrends challenge the physician-patient relationship. Physicians play a vital role in patients’ self-management of chronic dis-eases by providing knowledge about the disease and its therapy and advising on behaviors during treatment in the physician-patient relationship. Within this relationship, digital media can be used for different purposes, for example, for information exchange and search or for data exchange and contact (e.g., via telemedicine). So far, research has only considered specific aspects, e.g., the self-perception of physicians’ or patients’ digital media use, and selected factors influencing the recommendations and acceptance of digital media for self-management. To gain a holistic picture, research must be theory-based and focus on the ne-gotiation and mediation process as deliberative communication about therapy and thus about the use of digital media for self-management of chronic diseases, which aims at the everyday life integration of health-related digital media. The research project adapts the actor-structure dynamics of Uwe Schimank to analyze actor constellations and structures that determine individual action and interaction and the development of the everyday life integration of health-related digital media through therapy. Objectives: IP4 aims to (1) theoretically conceptualize the physician-patient relationship by adapting the actor-structure-dynamics, (2) gain a holistic, systematic, and reciprocal view of the physician-patient relationship, and (3) investigate all facets of the physician-patient rela-tionship as actor-structure-dynamics, capturing physicians’ and patients’ self- and mutual perceptions. Work program: IP4 conducts four interrelated studies: (1) An online survey of 250 general physicians, otolaryngologists, diabetologists, or internists, (2) semi-structured interviews with 60 physician-patient dyads, (3) participatory observations of consulting hours, and (4) focus groups with four physicians and one with four patients each to discuss, interpret, and contex-tualize our findings. Studies 3 and 4 are designed as qualitative panels (two waves). Collaborations and Interest groups: Bi- and multilateral cooperation mainly with IP5: peers, IP6: organizations, and IP7: reporting. From a theoretical and methodological point of view, IP4: healthcare is engaged in the three concept groups within the RU, namely, CG: continued use, CG: expectancy-value theories, and CG: network approach. Expected results/contributions: The theoretical modeling of the physician-patient relation-ship will be adapted based on the empirical results. With its multi-methodological design, the research project expands the state of research by casting a process perspective on the phy-sician-patient relationship, focusing on the negotiation and mediation process of digital media use for chronic disease self-management in its entirety.

背景：数字化和个性化作为大趋势对医患关系提出了挑战。医生在慢性病患者的自我管理中发挥着至关重要的作用，他们在医患关系中提供有关疾病及其治疗的知识，并对治疗过程中的行为提出建议。在这种关系中，数字媒体可以用于不同的目的，例如，用于信息交换和搜索或用于数据交换和联系(例如，通过远程医疗)。到目前为止，研究只考虑了具体的方面，例如，医生或患者对数字媒体使用的自我感知，以及选定的影响建议和接受数字媒体进行自我管理的因素。为了全面了解情况，研究必须以理论为基础，并将重点放在谈判和调解过程上，作为关于治疗的审议沟通，从而关于利用数字媒体进行慢性病自我管理，其目的是将与健康有关的数字媒体整合到日常生活中。该研究项目采用了Uwe Schimank的演员-结构动力学来分析演员星座和结构，这些星座和结构决定了个人行动和互动，以及通过治疗整合健康相关数字媒体的日常生活的发展。目的：IP4的目的是(1)通过采用行动者-结构-动力学对医患关系进行理论概念化，(2)获得对医患关系的整体、系统和互惠的看法，(3)从行动者-结构-动力学的角度考察医患关系的各个方面，捕捉医生和患者的自我和相互感知。工作计划：IP4进行四项相互关联的研究：(1)对250名全科医生、耳鼻喉科医生、糖尿病专家或内科医生进行在线调查；(2)对60名医患双方进行半结构化访谈；(3)参与式观察咨询时间；(4)由四名医生和一名患者组成的焦点小组，讨论、解释和讨论我们的发现。研究3和研究4被设计为定性小组(两波)。协作和利益集团：主要与IP5：同行、IP6：组织和IP7：报告开展双边和多边合作。从理论和方法的角度来看，IP4：医疗保健涉及RU内的三个概念组，即CG：持续使用、CG：预期价值理论和CG：网络方法。预期结果/贡献：将根据经验结果调整医患关系的理论模型。通过多方法的设计，该研究项目扩展了研究状态，从医患关系的过程视角出发，关注数字媒体用于慢性病自我管理的整体谈判和调解过程。