【摘要】 医患沟通是建立医患信任、提高医疗质量的有效途径。人际语境下沟通风格、自我认知、语言能力等特质型预置因素和沟通目标、患者感知、关系感知、沟通策略、情感状态等情境型感知因素共同影响医生的沟通方式与策略选择。在我国医疗生态下，门诊和住院沟通生态存在差异，患者性格感知和医生沟通风格分别是门诊和病房沟通的关键影响因素，风险防御和沟通场域则是影响我国医生沟通的新因素。疫情防控推动了线上医疗发展，不同类型的线上医疗平台(诊疗、科普和联络)影响着医生线上医疗实践中的患者类型、沟通目的与策略选择。医患沟通及影响因素研究为发现沟通问题，优化沟通效能，推动医患信任和医患关系建设提供参考。更多还原

【Abstract】 Doctor-patient communication is an effective approach to build the mutual trust and improve medical service. Under interpersonal context, predisposing influences of communication style, self-perception, language ability, and cognitive-affective influences of communication goals, patient perception, relation perception, communication strategy and mental state, jointly affect doctors’ communication strategies. As communication ecologies of in-patient and out-patient clinics show discrepancy under China’s medical context, patient perception is the key influence for out-patient communication while doctors’ communication style is the key influence for in-patient communication. Risk prevention and communication field domain are two new influences. With the development of online medical service promoted by the pandemic control, online medical platforms of different types(medical service, health promotion, patients connection)influence doctors’ online communication practices by affecting patients’ types, communication goals and strategic decisions. This study aims at discovering barriers, improving efficacy of doctor-patient communication, and promoting doctor-patient trust and relations.更多还原