北京市H区基层卫生服务内容变化对村落医患信任的影响  

Impacts of Healthcare Services Content Change on the Physician- patient Trust in Rural Areas in Beijing H District

作　　者：马晓[1] 王晓燕[1] 董屹[1] 周慧姊[1] 刘一[1] 

机构地区：[1]首都医科大学卫生管理与教育学院,北京100069

出　　处：《医学与社会》2015年第4期1-3,6,共4页Medicine and Society

基　　金：北京市哲学社会科学规划重点项目;编号为14ZHA003;首都卫生管理与政策研究基地重大项目;编号为2013JD01;北京市属高等学校教学创新人才--教学名师项目;编号为PHR201106207

摘　　要：目的:了解北京市H区农村医患信任现状及基层卫生服务内容变化对医患信任的影响。方法:采用目的抽样的方法,对北京市H区3个乡镇的12位村干部、12位村医以及24位村民进行实地观察和访谈,对访谈结果进行定性分析。结果:乡土社会"差序格局"背景之下的村落医患信任,以人际信任为主体,呈现总体信任、个别不满的局面。结论:从计划经济到市场经济过渡的过程中,由于村民健康需求提高、可选择性增强以及村卫生室服务重点转移、政策落实不到位,导致基层卫生服务内容的变化,对村落医患信任产生一定的影响。Objective： To understand the physician- patient the trust in H District in rural Beijing and discuss how it had been influenced by the changes of rural health services. Methods： This paper is based on observations and interviews on 12 village cadres,12 village doctors and 24 villagers. We carried out qualitative analysis on the result. Results： In a traditional Chinese society which is characterized by the ＂ grade structure＂,the basis for the trust between physician and patient is interpersonal trust. Most patients can trust their doctors. Conclusion： In the process of transition from the planned economy to the market economy,there are various factors contributing to the physician- patient trust in rural areas.Firstly,rural patients ask for better health care. Secondly,they get more choices on health services. Thirdly,the focus of service of village clinic is changed. Last but not the least,policy can＇t be carried completely out.

关 键 词：卫生服务 医患信任 医患关系 基层 

分 类 号：R197.62[医药卫生—卫生事业管理]