Research on Doctor-patient Discourse Power Interaction Based on Evolutionary Game Theory
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摘要: 近年来医患纠纷屡见报端,实质反映了医患间话语权的博弈。以医院急诊科室作为研究对象,借助复制动态方程模型,从医患间信任关系、利益诉求、维权困境三方面探析医患间话语权博弈动因,并运用演化博弈理论分析医患双方话语互动过程及其行为选择,得出医方动态演化稳定策略为提出倾向性治疗方案,患者动态演化稳定策略为接受倾向性方案。最后,从医方、患方、社会医疗资源三个层面提出对策建议,为均衡医患话语权、缓解医患矛盾提供参考。Abstract: Common occurrence of doctor-patient disputes recently indicates the game of discourse power between doctors and patients. This article takes the emergency department of hospital as the research object, explores the motivation of discourse between doctors and patients from three aspects:trust relationship, interest demands and rights predicament by duplicating dynamic equation model. After analyzing discourse power interactions and choice making with evolutionary game theory, hospital dynamic evolution strategy is summarized as treatment with proposing tendencies, and patient dynamic evolution strategy is summarized as treatment with accepting tendencies. Based on this, suggestions are proposed from three levels:doctors, patients and social medical resources, which provide a reference for balancing the discourse power between doctors and patients to ease the conflict.
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