Sağlık İletişimine Giriş: Kavramlar, Aktörler ve Güncel Eğilimler
Özet
Bu bölüm, sağlık iletişimini kavramsal çerçevesi, aktörleri, düzeyleri, temel amaçları, kuramsal temelleri ve güncel eğilimleriyle bütüncül biçimde tanıtmayı amaçlamaktadır. Sağlık iletişimi; sağlıkla ilgili bilginin üretildiği, paylaşıldığı, yorumlandığı ve eyleme dönüştürüldüğü, halk sağlığı ile klinik uygulama arasında köprü kuran stratejik ve disiplinler arası bir alan olarak ele alınmaktadır. Bölümde alanın hekimlerden hastalara, sağlık kurumlarından medyaya ve kamu otoritelerine uzanan çok aktörlü yapısı ile kişilerarası, grup, kurumsal ve toplumsal düzeyleri tanıtılmakta; bilgi aktarımı, sağlık okuryazarlığı, davranış değişikliği, hasta merkezli iletişim, risk ve kriz iletişimi ile sağlık eşitsizliklerinin azaltılması gibi temel amaçlar tartışılmaktadır. Bu amaçlara zemin oluşturan kuramsal yaklaşımlar bireysel, mesaj, toplumsal ve ilişkisel düzeylere göre sistematik biçimde sunulmakta; son olarak dijitalleşme, sosyal medya, infodemi ve yapay zekâ ekseninde alanın güncel dönüşümü değerlendirilmektedir.
Referanslar
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211.
Avcı, K., & Avşar, Z. (2014). Sağlık iletişimi ve yeni medya. İletişim Kuram ve Araştırma Dergisi, 39, 181–190.
Aydemir, H. C. (2025). Sağlık kurumlarında yapay zekâ ve kullanım alanları. İçinde Dijital dönüşüm ve yapay zekâ ışığında sağlık hizmetleri (ss. 3–19). İKSAD Yayınevi.
Bandura, A. (2004). Health promotion by social cognitive means. Health Education & Behavior, 31(2), 143–164.
Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2011). Low health literacy and health outcomes: An updated systematic review. Annals of Internal Medicine, 155(2), 97–107.
Bishwajit, G. (2016). Role of health journalism in promoting communication among stakeholders in healthcare sector. Journal of Healthcare Communications, 1(3), 16.
Centers for Disease Control and Prevention. (2011). What is health communication? https://www.cdc.gov/healthcommunication/healthbasics/WhatIsHC.html
Charles, C., Gafni, A., & Whelan, T. (1997). Shared decision-making in the medical encounter: What does it mean? (Or it takes at least two to tango). Social Science & Medicine, 44(5), 681–692.
Chou, W.-Y. S., Gaysynsky, A., & Cappella, J. N. (2020). Where we go from here: Health misinformation on social media. American Journal of Public Health, 110(S3), S273–S275.
Çınarlı, İ. (2008). Sağlık iletişimi. Nobel Yayın Dağıtım.
Covello, V. T. (2003). Best practices in public health risk and crisis communication. Journal of Health Communication, 8(sup1), 5–8.
Davison, K. P., Pennebaker, J. W., & Dickerson, S. S. (2000). Who talks? The social psychology of illness support groups. American Psychologist, 55(2), 205–217.
Elwyn, G., Frosch, D., Thomson, R., Joseph-Williams, N., Lloyd, A., Kinnersley, P., Cording, E., Tomson, D., Dodd, C., Rollnick, S., Edwards, A., & Barry, M. (2012). Shared decision making: A model for clinical practice. Journal of General Internal Medicine, 27(10), 1361–1367.
Entman, R. M. (1993). Framing: Toward clarification of a fractured paradigm. Journal of Communication, 43(4), 51–58.
Epstein, R. M., & Street, R. L., Jr. (2007). Patient-centered communication in cancer care: Promoting healing and reducing suffering. National Cancer Institute.
Eysenbach, G. (2002). Infodemiology: The epidemiology of (mis)information. American Journal of Medicine, 113(9), 763–765.
Gabarron, E., Oyeyemi, S. O., & Wynn, R. (2021). COVID-19-related misinformation on social media: A systematic review. Bulletin of the World Health Organization, 99(6), 455–463A.
Glanz, K., Rimer, B. K., & Viswanath, K. (Eds.). (2015). Health behavior: Theory, research, and practice (5th ed.). Jossey-Bass.
Haykır, H. (2024). Sağlıkta iletişimin rolü. Uluslararası İktisadi ve İdari Akademik Araştırmalar Dergisi, 4(2), 95–107.
Işık, T. (2019). Türkiye'de sağlık kurumlarının sosyal medya uygulamaları. Eğitim Yayınevi.
Kreps, G. L. (1988). The pervasive role of information in health and health care: Implications for health communication policy. Communication Yearbook, 11, 238–276.
Kreps, G. L., Bonaguro, E. W., & Query, J. L. (1998). The history and developments of the field of health communication. In L. D. Jackson & B. K. Duffy (Eds.), Health communication research: A guide to developments and directions (pp. 1–15). Greenwood Press.
Kreps, G. L., & Maibach, E. W. (2008). Transdisciplinary science: The nexus between communication and public health. Journal of Communication, 58(4), 732–748.
McCombs, M. E., & Shaw, D. L. (1972). The agenda-setting function of mass media. Public Opinion Quarterly, 36(2), 176–187.
Moorhead, S. A., Hazlett, D. E., Harrison, L., Carroll, J. K., Irwin, A., & Hoving, C. (2013). A new dimension of health care: Systematic review of the uses, benefits, and limitations of social media for health communication. Journal of Medical Internet Research, 15(4), e85.
Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259–267.
Petty, R. E., & Cacioppo, J. T. (1986). The elaboration likelihood model of persuasion. Advances in Experimental Social Psychology, 19, 123–205.
Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51(3), 390–395.
Ratzan, S. C., Payne, J. G., & Bishop, C. (1996). The status and scope of health communication. Journal of Health Communication, 1(1), 25–41.
Reynolds, B., & Seeger, M. W. (2005). Crisis and emergency risk communication as an integrative model. Journal of Health Communication, 10(1), 43–55.
Rimal, R. N., & Lapinski, M. K. (2009). Why health communication is important in public health. Bulletin of the World Health Organization, 87(4), 247–247a.
Rogers, E. M. (1994). The field of health communication today. American Behavioral Scientist, 38(2), 208–214.
Rogers, E. M. (1996). The field of health communication today: An up-to-date report. Journal of Health Communication, 1(1), 15–23.
Rogers, E. M. (2003). Diffusion of innovations (5th ed.). Free Press.
Rosenstock, I. M. (1974). Historical origins of the Health Belief Model. Health Education Monographs, 2(4), 328–335.
Rothman, A. J., & Salovey, P. (1997). Shaping perceptions to motivate healthy behavior: The role of message framing. Psychological Bulletin, 121(1), 3–19.
Schiavo, R. (2014). Health communication: From theory to practice (2nd ed.). Jossey-Bass.
Slovic, P. (1987). Perception of risk. Science, 236(4799), 280–285.
Sørensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., & Brand, H. (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12, 80.
Street, R. L., Jr., Makoul, G., Arora, N. K., & Epstein, R. M. (2009). How does communication heal? Pathways linking clinician–patient communication to health outcomes. Patient Education and Counseling, 74(3), 295–301.
Sun, G., & Zhou, Y.-H. (2023). AI in healthcare: Navigating opportunities and challenges in digital communication. Frontiers in Digital Health, 5, 1291132.
Tabak, R. S. (2006). Sağlık iletişimi. Literatür Yayıncılık.
Thompson, T. L. (Ed.). (2014). Encyclopedia of health communication. Sage Publications.
Thompson, T. L., Dorsey, A. M., Miller, K. I., & Parrott, R. (Eds.). (2003). Handbook of health communication. Lawrence Erlbaum Associates.
Viswanath, K., & Kreps, G. L. (2006). Health communication and health disparities. In G. E. Thomson, F. Mitchell, & M. B. Williams (Eds.), Examining the health disparities research plan of the National Institutes of Health: Unfinished business (pp. 215–253). National Academies Press.
Viswanath, K., & Kreuter, M. W. (2007). Health disparities, communication inequalities, and e-health: A commentary. American Journal of Preventive Medicine, 32(5 Suppl), S131–S133.
Wakefield, M. A., Loken, B., & Hornik, R. C. (2010). Use of mass media campaigns to change health behaviour. The Lancet, 376(9748), 1261–1271.
Witte, K. (1992). Putting the fear back into fear appeals: The extended parallel process model. Communication Monographs, 59(4), 329–349.
World Health Organization. (2020a). Infodemic. Erişim tarihi: 6 Temmuz 2026, https://www.who.int/health-topics/infodemic
World Health Organization. (2020b). Managing the COVID-19 infodemic: Promoting healthy behaviours and mitigating the harm from misinformation and disinformation. World Health Organization.
Yılmaz, M. B. (2018). Doktorum medya. Literatür Yayıncılık.
