The association between doctor-patient relationship and media discourse in emergency departments: a cross-sectional...

Although the doctor-patient relationship (DPR) in China has improved during the COVID-19 pandemic, conflicts still persist, especially in high-pressure environments like emergency departments (EDs). Previous research has not explored how media portrayal of healthcare professionals impacts this relationship in emergency settings. This study aims to analyze the correlation between media representation of healthcare professionals and DPR in Chinese EDs, with the goal of identifying strategies to improve patient satisfaction, enhance trust and promote effective medical outcomes.

This cross-sectional study was conducted across 40 hospitals in 8 provinces in China. Using a self-designed electronic questionnaire, data were collected from healthcare professionals. Multiple linear regression models were employed to analyze the correlation between the DPR and the portrayal of healthcare professionals by the media in ED.

The results indicated a higher rate of verbal and physical conflicts in EDs, suggesting a tense DPR. The positive portrayal of healthcare professionals by the media is positively correlated with DPR and doctor-patient trust. Furthermore, the positive portrayal of healthcare professionals by the media is negatively correlated with the frequency of physical conflicts.

The study highlights the media's critical role in shaping public perceptions that impact DPRs, especially in high-stress settings. A comprehensive multi-stakeholder approach is recommended, involving media self-regulation, government policy, healthcare organization initiatives and empowered healthcare professionals. By strategically managing the media's influence through this coordinated approach, the findings can drive enhanced trust, improved patient satisfaction and more effective medical outcomes.