基于村民视角的村级医患信任现状及影响因素探讨  

Present Situation and Influencing Factor of the Doctor-patient Trust in Rural Area from the Villager's Perspective

作　　者：张溪婷 王晓燕[1] 彭迎春[1] 赵博[1] 陈秉喆[1] 孙德婧 

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：《中国医学伦理学》2015年第3期349-352,共4页Chinese Medical Ethics

基　　金：北京市哲社规划办重点项目(项目编号:14ZHA003);首都卫生管理与政策研究基地重大项目(项目编号:2013JD01)

摘　　要：目的分析基于村民视角的村级医患信任现状及其影响因素。方法采取目的抽样的方法,选取北京市H区作为调研地点,对其所辖的14个乡镇下辖的80个行政村采取信任问卷的方式进行信息调查。结果在350名被调查的村民中有301名村民对村卫生室医患关系持肯定态度,共占86.00%;有44名村民对村卫生室医患关系持中立态度,占12.57%;仅有5名村民对村卫生室医患关系持否定态度,占总比例的3.43%。基于血缘亲缘的关系村民对村卫生室和乡村医生更为信任,但是技术水平与服务能力是影响医患信任的主要因素。结论乡村医生与村民处于相同的村落当中,具有共同的生活环境、人际关系、道德观念,彼此之间的人际信任较高。置身于诊疗活动当中,人际关系与诊疗关系共同作用形成现有的医患信任,实质上是人际信任掩盖了技术上的不信任。转型社会中,如何提高村卫生室的服务能力,实现村卫生室真正的医患互信是医改的重要内涵。spective of the ： Objective： To analyze the status of doctor - patient trust villagers. Methods： Using purposive sampling method, site in Beijing, for in the 14 township 80 administrative villages and its influencing factors based on the per- the selection of the H area as the research of trust information in the form of questionnaire sur- vey. Results：The 350 villagers were surveyed 301 villagers of village clinics held a positive attitude to the doctor - patient relationship, accounted for 86.00% ; There are 44 villagers of village clinics the middle ground the doctor - patient relationship, accounted for 12.57% ; Only five of the villagers of village clinics have held a denial atti- tude to the doctor - patient relationship, accounts for 3.43 % of the proportion of the total. Based on blood kinship relationship between the villagers of village clinics and rural doctors more trust, but the technical level and service ability are the main factors affecting doctor- patient trust. Conclusion：Rural doctors and villagers in the same vil- lage, has a common living environment, interpersonal relationship, morality, interpersonal trust between each other is higher. In clinical activities, formed by the interpersonal relationship with the clinical common existing doctor - patient trust, is essentially interpersonal trust mask a lack of technology. Transformation in the society, how to im- prove the service ability of the village clinic, realize the village clinic real doctor - patient trust is the important connotation of health reform.

关 键 词：村卫生室 医患信任 医患关系 村民视角 

分 类 号：R195[医药卫生—卫生统计学]