JMIR Publications

ABSTRACT

Background:

Physician-patient conflicts have increased more than ten times from the 2000s to 2010s in China and arouse heated discussion on microblog. However, little is known about similarities and differences among views of opinion leaders from the general public, physician, and media regarding physician-patient conflict issues on microblog.

Objective:

This study aimed to explore how opinion leaders from physician, the general public, and media areas framed the posts on major physician-patient conflict issues on microblog. Findings will provide more objective evidence of trilateral (health profession, general public, and media) attitudes and perspectives on physician-patient conflicts.

Methods:

A comparative content analysis was conducted to examine the posts (N=545) from microblog opinion leaders regarding the major physician-patient conflicts in China from 2012 to 2017.

Results:

Media used significantly more conflict (M=0.16) and attribution frames (M=0.16) but least popularize medical science frame (M=0.03) than physician (M=0.06, p<0.001; M=0.06, p<0.001; M=0.08, p=0.035, respectively) and general public opinion leaders (M=0.06, p<0.001; M=0.09, p=0.003; M=0.12, p<0.001, respectively). There are no significant differences in the use of conflict, cooperation, negative and popular science frames between general public and physician opinion leaders.

Conclusions:

This imbalanced use of frames by media would cultivate and reinforce the public perception of physician-patient contradiction. The physician and general public opinion leaders share some commons in post frames, implying that they do not have a fundamental discrepancy on physician-patient conflict issues. It is essential to guide and encourage media microbloggers to make every effort to popularize medical science and improve physician-patient relationships.