臺灣博碩士論文加值系統

本研究關注於台灣醫療劇中醫護人員與病人形象、醫病互動的面貌。透過內容分析法發現劇中醫護人員與病人的角色再現，仍具傳統性別刻板印象與社會階級意識。男性角色通常擔任高社經地位的醫生與管理階層；女性角色則多擔任護理師與病患，呈現男強女弱、女性角色被邊緣化的現象。在性格上，醫生多滿懷救助病人的熱血精神、管理階層只顧名聲與私人利益，病人則消極被動。
研究結果也顯示台灣醫療劇文本採多軸敘事風格，多反映台灣現今醫療體制官僚層級及病人安全危機的問題。但對於疾病知識情節刻畫過少，健康傳播教育的內容尚待提升。此外，雖然劇中醫生普遍使用正向言語、正向行為與病患互動的「對等合作」醫病溝通模式，卻對病人角色缺乏在言語和行為上的刻畫。因此，儘管台灣醫療劇整體而言呈現和諧醫病關係，但醫生仍握有醫病互動的主動權，病患地位相對弱勢。另外，必須注意的是，醫病溝通情節在整體醫療劇的所占比例過少，對閱聽眾而言無法達到實質的教育意義。

This study utilized content analysis to profile an examination of medical drama ‘s portrayal of medical professionals, patients, and their interactions in Taiwan’s medical drama.The image of medical crews and patients were stereotyped.Males were usually play like doctors and administrators which with high professional and high status.On the other hand, females were usually play like nurses and patients which with low status and not obvious in the whole medical drama.In the personality of characters, doctors usually with passion to help patient, administrators usually concentrate on fame and wealth, patients usually with negative personality.
Results indicated that Taiwan’s medical drama take multi-axis narrative style, reflecting Taiwan's current health care problem like bureaucratic level and patient safety crisis. Even though the doctor-patient interaction appear as co-operated mode in medical drama, we still find that doctors have the power to decide patients’ cure procedure. In fact, as doctor-patient interaction in the overall proportion of medical drama is too small, the influence to audience may be open to question.

摘 要 i
Abstact ii
目 錄 iv
表目錄 v
第壹章 緒論 1
一、研究背景 1
二、研究動機 7
三、研究問題意識 11
四、研究流程 13
第貳章、文獻探討 14
第一節、涵化理論 15
（一）涵化研究進程 15
（二）醫療劇與涵化研究 24
（三）醫療劇與感知真實 29
第二節、醫療劇概念與醫療文本 35
（一）醫療劇的定義 35
（二）醫療劇的風格與發展歷程 41
第三節、醫病溝通 48
（一）醫病溝通理論 49
（二）組織溝通到醫病溝通 52
（三）醫病關係中的權力 58
（四）醫療劇與醫病溝通 59
第四節、健康傳播 68
（一）健康傳播 68
（二）醫療劇與健康傳播 72
第參章 研究方法 77
一、內容分析法 77
二、背景 77
三、 選取樣本 80
四、 制定分析單位與類目說明 81
五、 編碼員信度檢測 94
第肆章、研究結果 95
一、描述性統計分析 95
二、統計結果整合 123
第伍章、討論與結論 125
一、 研究結果討論 125
二、研究貢獻 140
三、研究限制與建議 142
陸、參考書目 145
附件一：類目表 155

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