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患者信任医生测评工具研究进展OA

Research progress of assessment tools for patient trust in doctors

中文摘要英文摘要

目的 患者信任医生是医患互信的关键部分,开发良好信效度的测评量表可用来测量患者对医生信任水平.方法 通过中国知网、万方、Web of Science等数据库,以"患者信任医生""患者信任测评""Patient Trust in Doctors""Patient Trust Evaluation"等为主题词,检索 2000-2024 年发表的中英文文献,采用内容分析法进行筛选,并最终纳入377篇文献.通过文本分析的方式系统梳理量表维度、信效度指标.结果 国外患者信任医生量表研究起步较早,研究作者以Thom & Hall为主要代表,量表维度涵盖忠诚度、能力、诚实及整体信任,Cronbach系数普遍高于0.85,为后续研究奠定了基础;国内研究以董恩宏团队为代表,开发的中文版量表信效度良好(Cronbach系数0.89),但其适用性受文化、医疗体系差异限制.当前研究以横断面调查为主,依赖量表与问卷,难以反映信任的动态性与情境性.结论 医患信任测量文献存在研究主体局限.患者信任测量研究在国内外表现存在差异,研究方法学层面存在局部不足.患者信任测评体系研究仍需要与时俱进.

Objective Patient trust in doctors is a key part of mutual trust between doctors and patients,and an evaluation scale developed with good reliability and validity can be used to measure the level of patient trust in doctors.Methods This study retrieved Chinese and English literature published between 2000 and 2024 through databases including CNKI,Wanfang Data,and Web of Science,using keywords such as"patient trust in doctors","doctor-patient trust evaluation","Patient Trust in Doctors",and"Patient Trust Evaluation".Content analysis method was used to analyze and screen literature closely related to the topic,and ultimately 377 articles were included.We systematically organized the dimensions,reliability,and validity indicators of the scale through text analysis.Results The research on the scale of patient trust in doctor in foreign countries started earlier,with Thom & Hall as the main representatives of the study authors.The scale dimensions covered loyalty,ability,hon-esty,and overall trust,with Cronbach's coefficients generally higher than 0.85,laying foundation for subsequent research.Domestic studies,represented by Dong Enhong's team,developed Chinese versions with good reliability(Cronbach's coefficient of 0.89),whose applicability faced challenges due to differences in cultural and health-care system.Conclusions The literature on measuring doctor-patient trust has limitations in terms of research subjects.There are differences in the performance of patient trust measurement research both domestically and in-ternationally,and there are local shortcomings in the research methodology.The research on patient trust assess-ment system still needs to keep pace with the times.

张利萍;申淑星;陆景茹

安徽医科大学马克思主义学院 安徽 合肥 230032安徽医科大学卫生管理学院安徽医科大学卫生管理学院

医药卫生

患者信任医生患者信任医生测评医患关系测量工具及方法测评体系量表信效度评估指标

Patient trust in doctorsPatient trust evaluationDoctor-patient relationshipMeasurement tools and methodsEvaluation systemScale reliability and validityEvaluate indicators

《中国农村卫生事业管理》 2025 (9)

615-620,6

国家自然科学基金面上项目(72374005)安徽省教育厅高校自然科学研究重点课题(KJ2021A0266)

10.19955/j.cnki.1005-5916.2025.09.002

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