中国全科医学Issue(34)：4056-4059,4.DOI:10.3969/j.issn.1007-9572.2014.34.009
基于医方访谈的乡镇卫生院医患信任研究
Study of Doctor-patient Trust in Township Hospitals Based on Doctors' Interview
摘要
Abstract
Objective To describe the trust status of doctor-patient relationship in township hospitals as well as the influencing factors,then put forward to relevant countermeasures. Methods Purpose sampling method was used to select three towns B,Q and C from a distant outskirt in Beijing as the observation places,according to geographical positions of the township hospitals,town population and cultural level,where the township hospitals were subjected to 3 d spot research by not participato-ry observation method. Besides 12 doctors chosen by purpose sampling method received personal interview. Results The mean score of the doctor-patient relationship evaluation by township doctors was ( 3. 83 ± 0. 58 ) with 5 as the full mark. 9 doctors thought the trust type largely belonged to operational relationship. In terms of trust degree of the patients,6 in 12 doctors thought" so-so",5 doctors thought" high"and 1 was not clear about it. The doctors in township hospitals thought the trust was mainly built on competence(10 persons),on medical ethics(10 persons),on service attitude(4 persons),on genetic relationship (2 persons),on geo-relationship(1 person),on responsibility(1 person). Conclusion Doctors in township hospitals con-clude that patient trust township hospitals more than county doctors,but less than big city hospitals. The trust type toward town-ship hospitals belongs to relationship trust and doctor's competence,moral and attitude are the influencing factors for doctor-pa-tient relationship. Therefore the doctor-patient relationship can be improved by advancing medical technology,increasing public health personnel,strengthening the doctor-patient communication,escalating equipment levels and adding drug types etc.关键词
乡村卫生服务/医生病人关系/乡村医生Key words
Rural health service/Physician-patient relations/Rural doctors分类
医药卫生引用本文复制引用
刘一,王晓燕,于鲁明,彭迎春,周慧姊..基于医方访谈的乡镇卫生院医患信任研究[J].中国全科医学,2014,(34):4056-4059,4.基金项目
首都卫生管理与政策研究基地重大项目（2013JD01）；北京市哲社规划办重点项目 （）
