[1]冯明枝 翁亚娟 蔡婷婷 刘静 牛妞 段怡雯 刘梦昕 袁长蓉.患者型意见领袖的概念分析与启示[J].中国卫生质量管理,2025,32(06):056-61.[doi:10.13912/j.cnki.chqm.2025.32.6.12]
　FENG Mingzhi,WENG Yajuan,CAI Tingting.Conceptual Analysis and Implications of Patient-type Opinion Leaders[J].Chinese Health Quality Management,2025,32(06):056-61.[doi:10.13912/j.cnki.chqm.2025.32.6.12]
点击复制

患者型意见领袖的概念分析与启示()
分享到：

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第32卷
期数:
2025年06期
页码:
056-61
栏目:
护理质量
出版日期:
2025-06-15

文章信息/Info

Title:
Conceptual Analysis and Implications of Patient-type Opinion Leaders
作者:
冯明枝 翁亚娟 蔡婷婷 刘静 牛妞 段怡雯 刘梦昕 袁长蓉
大连医科大学护理学院
Author(s):
FENG Mingzhi; WENG Yajuan; CAI Tingting
School of Nursing, Dalian Medical University
关键词:
患者型意见领袖; 健康管理; 健康传播; 概念分析
Keywords:
Patient-type Opinion Leaders;  Health Management;  Health Communication;  Concept Analysis
分类号:
R47
DOI:
10.13912/j.cnki.chqm.2025.32.6.12
文献标志码:
A
摘要:
目的分析患者型意见领袖的概念发展历程、定义属性、先决条件、结果及典型案例，为临床实践提供参考。方法检索国内外数据库中的相关研究，采用Rodgers概念演化分析法进行分析。结果共纳入34篇文献进行分析。患者型意见领袖的定义属性包含经验权威性、知识可信性、网络中心性、传播效能性及利他驱动性，先决条件涉及健康信息不对称、群体健康需求、多样化沟通渠道、商业与公益双重驱动等因素，其为患者和医疗卫生系统带来积极影响的同时也存在潜在风险。结论患者型意见领袖是一个多维度的概念，涵盖多个属性，受多种因素影响。未来应精准识别患者型意见领袖，深入挖掘其在患者健康管理中的作用，推动医护人员与患者型意见领袖协同进行患者健康管理。
Abstract:
ObjectiveTo analyze the conceptual development, defining attributes, antecedents, consequences, and typical cases of patient-type opinion leaders, providing references for clinical practice.MethodsRelevant studies were retrieved from domestic and international databases and analyzed using Rodgers’ evolutionary concept analysis method.ResultsA total of 34 articles were included in the analysis. The defining attributes of patient-type opinion leaders encompass experiential authority, knowledge credibility, network centrality, communication effectiveness, and altruistic motivation. Antecedents include factors such as health information asymmetry, group health needs, diverse communication channels, and dual drives of commerce and public welfare. The consequences involve positive impacts on patient health and the healthcare system, albeit with potential risks.Conclusion patient-type opinion leader is a multidimensional concept, encompassing multiple attributes and influenced by various factors. In the future, it is essential to accurately identify patient-type opinion leaders, delve deeper into their role in patient health management, and promote collaboration between healthcare professionals and patient-type opinion leaders in patient health management.

参考文献/References:

［1］翁亚娟,蔡婷婷,牛 妞,等.中青年结直肠癌造口患者健康管理旅程地图的研究［J］.中国护理管理,2024,24(6):806-813.［2］DA CJ,DUAN YW,JI ZY,et al.Assessing the needs of patients with breast cancer and their families across various treatment phases using a Latent Dirichlet Allocation model: a text-mining approach to online health communities［J］. Supportive Care in Cancer,2024,32(5):314.［3］张 楚,郑 颖,张桃桃,等.基于在线健康社区的老年肺癌患者健康信息需求研究［J］.中华全科医学,2024,22(10):1727-1731.［4］DIAZ-MARTIN AM,SCHMITZ A,YAGUE GUILLEN MJ.Are health e-mavens the new patient influencers?［J］.Front Psychol,2020,11:779.［5］WILLIS E,DELBAERE M.Patient influencers:the next frontier in direct-to-consumer pharmaceutical marketing［J］.J Med Internet Res,2022,24(3):e29422.［6］DIX MJ. What are the possible futures impacts of patient opinion leaders on healthcare and healthcare stakeholders［D］. Geneva: Geneva School of Business Administration, 2015.［7］TOFTHAGEN R,FAGERSTRM LM.Rodgers’ evolutionary concept analysis：a valid method for developing knowledge in nursing science［J］. Scand J Caring Sci, 2010, 24（Suppl 1）: 21-31.［8］LAZARSFELD PF,BERELSON B,GAUDET H.The peoples choice: how the voter makes up his mind in a presidential campaign［J］.New York Columbia University Press,1948, 77(2): 177-186.［9］徐 娟.《医疗意见领袖与患者就医行为研究》［M］.武汉:华中科技大学出版社出版,2021:13-14.［10］VALENTE TW, DAVIS RL.Accelerating the diffusion of innovations using opinion leaders［J］.The ANNALS of the American Academy of Political and Social Science,1999,566(1):55-67.［11］ROGERS EM. Diffusion of innovations［M］.5th Edition. New York:Free Press, 2003: 75-76.［12］KELLY JA,ST LAWRENCE JS,DIAZ YE,et al.HIV risk behavior reduction following intervention with key opinion leaders of population: an experimental analysis［J］. Am J Public Health, 1991, 81(2): 168-171.［13］KIM E. Social support, opinion leaders, and breast cancer patients’ psychosocial health outcomes in online support groups［D］. Madison: University of Wisconsin-Madison, 2012.［14］WIEDICKE A,REIFEGERSTE D,TEMMANN LJ,et al.Verbal and visual framing of responsibility for type 1 diabetes by patient influencers on Instagram［J］.Social Media Society, 2022, 8(4):1-13.［15］MESK B,RAD N,GYRFFY Z.Opinion leader empowered patients about the era of digital health: a qualitative study［J］.BMJ Open,2019,9(3):e025267.［16］ZHU Y, GUAN M, DONOVAN E.Elaborating cancer opinion leaders’ communication behaviors within online health communities:network and content analyses［J］. Social Media Society,2020,6(2):1-13.［17］DANAN GU MED. Encyclopedia of gerontology and population aging［M］. Cham: Springer International Publishing, 2021: 3729-3731.［18］WANG J,YAO T,WANG YN.Patient engagement as contributors in online health communities:the mediation of peer involvement and moderation of community status［J］.Behav Sci (Basel),2023,13(2):152.［19］XUE JX, DENG ZH. How patients with chronic disease create value in online health communities? A mixed methods study from social technical perspective［J/OL］. Information Technology and Management［2025-02-21］.DOI: 10.1007/s10799-024-00424-3.［20］APPERSON A,STELLEFSON M,PAIGE SR,et al.Facebook groups on chronic obstructive pulmonary disease:social media content analysis［J］.Int J Environ Res Public Health,2019,16(20):3789.［21］RUBENSTEIN EL. "They are always there for me": the convergence of social support and information in an online breast cancer community［J］. Journal of the Association for Information Science and Technology, 2015, 66(7): 1418-1430.［22］DE MARTINO I,D’APOLITO R,MCLAWHORN AS,et al.Social media for patients: benefits and drawbacks［J］.Curr Rev Musculoskelet Med,2017,10(1): 141-145.［23］PAGKAS-BATHER J,YOUNG LE,CHEN YT, et al.Social network interventions for HIV transmission elimination［J］.Current Hiv/Aids Reports, 2020,17(5):450-457.［24］PIRRI S,LORENZONI V, ANDREOZZI G,et al.Topic modeling and user network analysis on Twitter during world lupus awareness day［J］.Int J Environ Res Public Health,2020,17(15):5440.［25］BAPTISTA N,PINHO JC,ALVES H.Examining social capital and online social support links:a study in online health communities facing treatment uncertainty［J］. International Review on Public and Nonprofit Marketing,2021, 18(1):57-94.［26］HEISS R,RUDOLPH L.Patients as health influencers:motivations and consequences of following cancer patients on Instagram［J］.Behaviour and Information Technology,2022,42(6):806-815.［27］LEIGH S,NOBLE ME,PEARSON FE,et al.To tweet or not to tweet:a longitudinal analysis of social media use by global diabetes researchers［J］. Pharmaceutical Medicine,2021,35(6):353-365.［28］ROGERS A,KENNEDY A,BOWER P,et al.The United Kingdom expert patients programme:results and implications from a national evaluation［J］.Med J Aust, 2008,189(S10):21-24.［29］LORIG KR,RITTER PL,DOST A,et al.The expert patients programme online, a 1-year study of an Internet-based self-management programme for people with long-term conditions［J］.Chronic Illn,2008,4(4):247-256.［30］IANNARINO NT,FRANCIS-LEVIN N,CORRAO J,et al.Experts of their own experience: adolescent and young adult cancer patients’ advice-giving as a coping mechanism［J］.Journal of Communication in Healthcare,2024,11:1-10.［31］CORDIER JF.The expert patient:towards a novel definition［J］.Eur Respir J,2014, 44(4):853-857.［32］陈 利,黄美凌,李映桃,等.同伴支持模式在健康教育中的应用现状与展望［J］.全科护理,2019,17(10):1178-1181.［33］JOO JH,HWANG S,ABU H,et al.An innovative model of depression care delivery:peer mentors in collaboration with a mental health professional to relieve depression in older adults［J］.Am J Geriatr Psychiatry,2016,24(5): 407-416.［34］AKAREEM H, WIESE M, HAMMEDI W.Patients’ experience sharing with online social media communities: a bottom-of-the-pyramid perspective［J］. Journal of Services Marketing, 2021, 36(2): 168-184.［35］WILLIS E.Patients’ self-efficacy within online health communities: facilitating chronic disease self-management behaviors through peer education［J］.Health Communication,2016,31(3):299-307.［36］OH J,BONETT S,KRANZLER EC,et al.User- and message-level correlates of endorsement and engagement for HIV-related messages on Twitter: cross-sectional study［J］.Jmir Public Health and Surveillance,2022,8(6):e32718.［37］崔 瑶,刘 瑞.用户对健康传播中意见领袖的可信度评价:关于科普大V“回形针PaperClip”的文本分析［J］.现代广告,2020(20):18-28,63.［38］JOHNSTON AC, WORRELL J L, DI GANGI PM, et al. Online health communities［J］. Information Technology & People, 2013, 26(2): 213-235.［39］WILLIS E,FRIEDEL K,HEISTEN M,et al.Communicating health literacy on prescription medications on social media:in-depth interviews with "patient influencers"［J］.J Med Internet Res,2023,25:e41867.［40］金 燕,刘文锦,毕崇武.健康超话意见领袖甄别方法及其对不同参与行为的引导作用［J］.图书情报工作,2023,67(4):91-101.

相似文献/References:

[1]刘倩筠 宋燕燕 曾庆伟 曹晓均.通过HIMSS评审推进儿童保健信息化管理水平[J].中国卫生质量管理,2017,24(06):020.[doi:10.13912/j.cnki.chqm.2017.24.6.07]
[2]杨志平 刘运芳 樊代明.用整合医学建设新型全科医生队伍[J].中国卫生质量管理,2017,24(06):113.[doi:10.13912/j.cnki.chqm.2017.24.6.37]
[3]韩伟 张恩科.构建基于健康管理的个性化医疗模式[J].中国卫生质量管理,2018,25(04):122.[doi:10.13912/j.cnki.chqm.2018.25.4.37]
[4]田亚平 刘爽*王晓方 张淼.我国移动医疗研究现况的可视化分析[J].中国卫生质量管理,2019,26(06):082.[doi:10.13912/j.cnki.chqm.2019.26.6.23]
[5]杨滢瑞 张红梅 夏梦婷 姚溪 黄冉冉 李晓华 张俊娟 卢跃峰.构建区域内糖尿病视网膜病变智慧健康管理模式[J].中国卫生质量管理,2020,27(05):093.
　YANG Yingrui,ZHANG Hongmei,XIA Mengting,et al.Construction of Regional Intelligent Health Management Model for Diabetic Retinopathy[J].Chinese Health Quality Management,2020,27(06):093.
[6]张千彧邱宾刘伟军*武甲庚.5G技术助力“互联网＋医疗”健康管理模式发展[J].中国卫生质量管理,2020,27(06):081.[doi:10.13912/j.cnki.chqm.2020.27.6.20]
　ZHANG Qianyu,QIU Bin,LIU Weijun,et al.Development of the "Internet Plus Healthcare" Health Management Mode Based on 5G Technology[J].Chinese Health Quality Management,2020,27(06):081.[doi:10.13912/j.cnki.chqm.2020.27.6.20]
[7]吕一星张静波陈妮妮李晓悦郑儒春罗昊宇.我国健康管理事业发展对策研究[J].中国卫生质量管理,2022,29(02):001.[doi:10.13912/j.cnki.chqm.2022.29.2.01 ]
　LV Yixing,ZHANG Jingbo,CHEN Nini.Development Countermeasures of Health Management Business in China[J].Chinese Health Quality Management,2022,29(06):001.[doi:10.13912/j.cnki.chqm.2022.29.2.01 ]
[8]吕一星黄洋洋郭秀花冯彤罗昊宇王小丽.健康体检资源配置与相关费用之间的关系研究[J].中国卫生质量管理,2022,29(02):016.[doi:10.13912/j.cnki.chqm.2022.29.2.05 ]
　LV Yixing,HUANG Yangyang,GUO Xiuhua.The Relationship Between Health Examination Resource Allocation and Related Expenses[J].Chinese Health Quality Management,2022,29(06):016.[doi:10.13912/j.cnki.chqm.2022.29.2.05 ]
[9]徐晓华林颖张贤秦薇沈志云刘睿艳周京敏.构建基于移动互联网的患者赋能型心衰健康管理平台[J].中国卫生质量管理,2022,29(10):077.[doi:10.13912/j.cnki.chqm.2022.29.10.17 ]
　XU Xiaohua,LIN Ying,ZHANG Xian.Constructing a Patient Empowerment Health Management Platform for Heart Failure Based on Mobile Internet[J].Chinese Health Quality Management,2022,29(06):077.[doi:10.13912/j.cnki.chqm.2022.29.10.17 ]
[10]徐治萧陈蕾.标准化代谢性疾病管理应用于2型糖尿病患者的效果研究[J].中国卫生质量管理,2023,30(01):032.[doi:10.13912/j.cnki.chqm.2023.30.1.08 ]
　XU Zhixiao,CHEN Lei.Effects of Standardized Metabolic Disease Management in Patients with Type 2 Diabetes[J].Chinese Health Quality Management,2023,30(06):032.[doi:10.13912/j.cnki.chqm.2023.30.1.08 ]

更新日期/Last Update: 2025-06-15