ABSTRACT Based on genre theory, this quantitative content analysis compares physician portrayals, behaviors, and patient-centered communication practices in 2,658 scenes from medical drama (Grey ’s Anatomy), comedy (Scrubs), and reality (New York Med) shows. Significant differences among the programs’ portrayals of television doctors notwithstanding, the overall results indicate that Black, women, and younger physicians were over-represented while Asian, Hispanic, international, and older physicians were under-represented. Further, the reality show portrayed fewer negative behaviors and more patient-centered communication practices than the comedy or drama. As the first comparative analysis to include a medical comedy and to parse programs by scene instead of episode, the results provide important implications for genre-specific cultivation effects. Moreover, the results identify particular issues in physician portrayals that television producers may use as suggestions for improving programming and that medical educators may use to teach patient-centered communication practices.

中文翻译：

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在电视上扮演医生：医生对医疗戏剧，喜剧和真人秀的描绘和互动

摘要基于体裁理论，此定量内容分析比较了医学戏剧（《灰色的解剖》），喜剧（《灌木丛》）和现实（《纽约医学》）显示的2658个场景中医师的描述，行为和以患者为中心的交流实践。尽管该节目对电视医生的描述存在显着差异，但总体结果表明，黑人，女性和年轻医生的代表人数过多，而亚裔，西班牙裔，国际和老年医生的人数则不足。此外，与喜剧或戏剧相比，真人秀描绘的负面行为更少，而以患者为中心的沟通方式更多。作为第一个包含医疗喜剧并按场景而不是情节解析节目的比较分析，结果为特定类型的栽培效果提供了重要的启示。而且，这些结果确定了医生形象中的特殊问题，电视制作人可以将其用作改善节目编排的建议，医学教育者可以将其用于教授以患者为中心的交流实践。