关于农村居民对乡村医生和城市医生信任机制的比较研究——基于北京市H区的实地观察研究  

Comparison of Doctor-patient Trust Mechanism between Doctors in Urban and Rural Areas from the Perspective of Rural Residents——Based on the Field Research in H County of Beijing

作　　者：杨佳[1] 王晓燕[1] 彭迎春[1] 刘扬[1] 董屹[1] 周慧姊[1] 刘一[1] 马晓[1] 

机构地区：[1]首都医科大学卫生管理与教育学院/首都卫生管理与政策研究基地,北京100069

出　　处：《中国医学伦理学》2015年第3期341-345,共5页Chinese Medical Ethics

基　　金：北京市社会科学基金项目(14ZHA003);首都卫生管理与政策研究基地开放性课题重大项目(2013JD01);北京市教育委员会社科计划面上项目(SM201410025003);首都医科大学卫生管理研究生自主探索研究项目

摘　　要：目的在对国内外信任理论分析的基础上,通过实证研究比较农村居民对乡村和城市医生信任机制的异同。方法对北京市H区相关人员进行实地观察和二次深入访谈。结果农村居民对乡村和城市医生的信任机制具有明显的区别,对乡村医生的信任以社会相似型信任为主,对乡镇卫生院医务人员和城市大医院的医患信任存在着声誉型信任、制度型信任和关系运作型信任,但本质有所不同。结论城乡迥异的环境和文化,城乡医疗机构的性质、农村居民与城乡医生关系的疏密程度、城乡医疗机构的声誉、城乡医疗卫生制度的区别等是造成城乡医患信任机制不同的主要原因。Objective ： To compare the similarities and differences of doctor - patient trust building mechanism between doctors in urban and rural areas from the perspective of rural residents by the empirical study. Methods： Based on the field research and secondary in - depth interviews to the related personnel in H County of Beijing. Re- sults ： There had obvious difference of doctor - patient trust building mechanism between doctors in urban and rural areas from the perspective of rural residents. Trust building mechanism between village doctors were mainly the trust of the similar social background, between the doctors in township health centers and city hospital were the trust based on reputation, institution - based trust, and relationship - based trust. Conclusion ： The difference of re- gional and cultural between urban and rural areas, the nature of medical institutions the relationship with doctors, reputation of medical institution and medical and health care system in urban and rural areas , maybe the reasons that The difference of doctor - patient trust building mechanism between doctors in urban and rural areas .

关 键 词：医患信任 乡村医生 城乡比较 农村卫生 

分 类 号：R195[医药卫生—卫生统计学]