中国全科医学Issue(19)：2329-2332,4.DOI:10.3969/j.issn.1007-9572.2015.19.020
医患双方对医患关系的认知差异研究
Differences of Cognition on Doctor-patient Relationship Between Medical Staff and Patients
摘要
Abstract
Objective To investigate the differences of cognition on doctor-patient relationship between medical staff and patients and put forward corresponding policy recommendations on how to construct a harmonious doctor - patient relationship. Methods Based on regional representativeness and economic level,we selected Shanghai,Wuhan and Hefei to conduct the investigation. Using simple random sampling method,we selected a first-grade medical setting and a third-grade medical setting from each city. Using cluster random sampling method,1 300 medical staff and 1 500 respondents were enrolled from the included medical settings. From July to October 2014,on-site questionnaire survey was conducted. The questionnaire content mainly included subjects' general condition and their cognition on doctor -patient relationship. The number of effective returned questionnaires was 1 172 from medical staff and 1 390 from patients,and the effective recovery rates were 90. 2% and 92. 7% respectively. Results The tensity of doctor-patient relationship evaluated by doctors was higher than that evaluated by patients;difference of cognition on doctor-patient relationship between medical staff and patients was significant ( P<0. 05 ). As for the influencing factors for doctor-patient relation,the first three factors with the highest choosing rates by patients were service attitude,medical environment and medical morality,the first three factors with the highest choosing rates by doctors were service process,service attitude,and medical environment,and the factor with the lowest choosing rate by both patients and medical staff was education level. Apart from medical environment and expenses,other influencing factors for doctor -patient relationship were significantly different in the choosing rate between medical staff and patients ( P <0. 05 ) . Conclusion Difference exists between medical staff and patients in their cognition on doctor-patient relationship. Objective evaluation and full attention to the cognitive differences between medical staff and patients are the foundation for building a harmonious doctor -patient relationship. So our advise is to establish and improve the medical system, optimize medical environment, strengthen medical staff' professional accomplishment,raise patients' cultural quality,strengthen the doctor -patient communication and raise the service level.关键词
医生病人关系/认知/医务人员/患者Key words
Doctor-patient relations/Cognition/Medical staff/Patient分类
医药卫生引用本文复制引用
沈婉婉,鲍勇..医患双方对医患关系的认知差异研究[J].中国全科医学,2015,(19):2329-2332,4.基金项目
上海交通大学中国医院发展研究院“现代医院管理制度”研究项目（SJYF2014XD005B）；国家自然科学基金资助项目 （）
