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流动的出诊箱:空间传播与乡村医患共同体生成

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出诊箱伴随乡村医生的行医过程,与之在同一时空交织流动,成为乡村医疗体系结构的重要物质节点和象征符号,是乡村健康传播的重要议题.通过对河南、陕西、重庆等地乡村医生的田野调查,运用以物质为导向的定性访谈法,经三级编码生成了流动出诊箱的"物质、记忆、关系"三重空间传播内容及其互动关系网络.相较于列斐伏尔所提出的自然、精神和社会的三元空间论,本文更倾向于认同空间的物质性基础及三重合一关系.研究打破"物"与"人"的二元分割,以历时性视野揭示流动出诊箱如何作用于基层医患关系形成、提升村医身份认同,并参与生产乡土社会中的关系网络、情感体验和传播景观,从而推动形成良好、稳定的乡村医患共同体.
Consultation Box:Spatial Communication and the Formation of Rural Doctor-Patient Communities
The consultation box accompanies rural doctors in their medical practice and flows with them in the same space and time,becoming an important material node and symbol in the structure of the rural medical system,which is an important issue in rural health communication.Through a field survey of rural doctors in Henan,Shaanxi,and Chongqing,and the use of material-oriented qualitative interviews,the triple spatial communication content of"material,memory,and relationship"of the mobile clinic box and its interactive network were generated through three levels of coding.Compared with the triadic spatial theory of nature,spirit and society proposed by Lefebvre,this paper is more inclined to agree on the material basis of space and the triadic relationship.The study breaks the binary division between"things"and"people",and reveals how the mobile clinic box plays a role in the formation of grassroots doctor-patient relationship,enhances the identity of village doctors,and participates in the production of relational networks,emotional experiences and communication landscapes in the vernacular society,so as to promote the formation of a good and stable village doctor-patient community.

Spatial communicationmaterialityrural doctorsdoctor-patient community

刘大为、孙瑞、黄明

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西北大学 新闻传播学院,陕西 西安 710127

空间传播 物质性 乡村医生 医患共同体

2024

传媒观察
新华日报报业集团

传媒观察

CSSCI
影响因子:0.241
ISSN:1672-3406
年,卷(期):2024.485(5)