‘医学凝视”的复现：大众健康传播中的伦理原则建构

[中图分类号]R-052 [文献标志码]A [文章编号]1001-8565（2025）10-1351-08

DOI：10.12026/j.issn.1001-8565.2025.10.17

The reproduction of“medical gaze"： the construction of ethical principles inpublic health communication

ZENG Leixiao1，2

（1. School of Journalism and Communication，Renmin Unirversity of China，Beijing lOo872，China; 2. Department ofInfectious Diseases and Public Health， City University of Hong Kong， Hong Kong 999077，China）

Abstract：Policy incentives and the popularization of social media have enabled an increasing number of medical professionals to join the workforce of public health communication.Their rich professional knowledge has improved the quality of communication and brought multifaceted positive impacts on health communication. However，it has also raised ethical issues in health communication，namely“medical gaze.”The phenomenon of“medical gaze”can be summarized as the moralization of etiology，the spectacularization of lesions，and the trivialization of medical cases.By reviewing and sorting out biomedical ethics and profesional ethics in journalism and communication，this paper constructeda framework of ethical principles for public health communication from the perspective of common morality and principal paradigm，including the principles of truth and accuracy，restraint，dialogue and benefit，respect for autonomy，and emphasis on the humanities and social sciences.Meanwhile，this paper also explored pathways to implement ethics in practice from various aspects，such as compiling guidelines，deepening training systems，and establishing content review processes and professional cooperation.Although focusing on the ethical lapses of medical professionals in health communication，this paper did not aim to deny the significant value of their participation in health communication，nor did it regard them as typical or primary causes of ethical lapses in health communication.

Giventheir professionalismand foundation in professional ethics，theethical issues theyraised were neither the most serious nor the most frequent. This paper chose this perspective，aiming to promote dialogue between biomedical ethics and media ethics and provide more posibilities for standardizing the health communication space.

Keywords： health communication；ethics；medical gaze；disease metaphor；mediatization

1“医学凝视”的复现：大众健康传播中的伦理问题

大众健康传播在健康促进中的作用日益凸显，具备专业知识与临床实践经验的医务人员，逐渐成为健康传播的主力。（剩余12015字）