江苏省医患关系现状分析  

Current situation of doctor-patient relationship in Jiangsu province

作　　者：高翔[1] 张新宇[2] 李硕[3] 王薇薇[1] 苗春霞[1] 赵忠辉[1] 岳秋颖 夏瑶[1] 赵世鸿[1] 

机构地区：[1]徐州医学院公共卫生学院卫生管理教研室,江苏徐州221004 [2]新西兰奥塔哥大学 [3]长沙医学院

出　　处：《中国公共卫生》2016年第8期1013-1016,共4页Chinese Journal of Public Health

基　　金：江苏高校哲学社会科学研究项目(2014SJB411);江苏省社科应用研究精品工程课题(14SWA-046);徐州市社会科学研究课题(15XSZ-061)

摘　　要：目的从医方、患方、政府和社会四方的视角分析医患关系的现状,探讨医患关系改善效果及存在问题,为构建和谐医患关系制定相应措施提供参考。方法 2015年6—9月,在江苏省苏州、无锡、徐州、盐城、淮安、连云港6个城市对卫生行政人员、医务人员、患者及社会人群进行等比例抽样,共对1 156人进行医患关系现状调查。结果 35.9%的被调查者认为医患关系是"主动-被动型",50.9%的人认为医患关系属于"指导-合作型",13.2%的人认为医患关系处于"共同参与型";54.7%的人认为医院主动改善医患关系的效果一般,34.0%的人认为效果比较好,11.2%的人认为效果比较不好;患者认为医院主动改善医患关系效果较好的比例最高为46.0%,其次为卫生行政人员为34.9%;每个群体中均有超过40%的人认为媒体报道反映医患纠纷时真假参半;47.5%的人认为医院提供的医疗服务质量较好,47.8%的人认为服务质量一般;四方被调查群体在医患关系类型、媒体对医患关系的作用和对医疗服务水平认识等方面的看法差异有统计学意义(χ2=34.24、123.08、20.24,P<0.05)。结论医患间不信任、医疗服务水平参差不齐等医患不和谐因素依然存在。媒体需正确引导社会舆论,医院要正确认识医患关系本质,加强主动改善医患关系的力度。Objective To examine the status quo of doctor-patient relationship from four expects of medical personnel,patients,government agencies,and the public and to provide references for constructing harmonious doctor-patient relationship. Methods Totally 1 156 health administrators,medical personnel,patients,and citizens were recruited in Suzhou,Wuxi,Xuzhou,Yancheng,Huai＇an,and Lianyungang with proportional sampling and surveyed using a self-designed questionnaire from June to September 2015. Results There were 35. 9%,50. 9%,and 13. 2% of the respondents considering that an appropriate mode for doctor-patient relationship should be active-passive,directive-collaborative,and co-participative,respectively. Of the respondents,54. 7%,34. 0%,and 11. 2% regarded the efficiency of the measures initiated by hospital managers to improve doctor-patient relationship being general,good,and not good; more patients（ 46. 0%） and health administrators（ 34. 9%） evaluated the measures as efficient than other respondents. Among the respondents in each of the four groups,more than 40% did not think the media reporting medical dispute factually. Of all the respondents,47. 5% and 47. 8% rated the quality of services provided by medical institutions as good and general.There were significant differences in the opinions on appropriate mode for doctor-patient relationship,the effect of media on doctor-patient relationship,and the assessment of medical service quality among the four groups surveyed（ P〈0. 05 for all）. Conclusion Disharmonious factors including mutual distrust and disparity in medical service quality impede the establishment of good doctor-patient relationship in Jiangsu province. Media should take correct opinion orientation to the public and hospital managers should have right cognition and attitude towards doctor-patient relationship to promote good relationship between doctors and patients.

关 键 词：医患关系 现状 医疗品质 

分 类 号：R192[医药卫生—卫生事业管理]