基于信任源模型的全科医疗服务医患信任问题及对策建议  

The Doctor-patient Trust in General Practice Service and Its Countermeasure Suggestions Based on Trusted Source Model

作　　者：马志强[1] 吴香兰 MA Zhiqiang;WU Xianglan(School of Management,Jiangsu University,Zhenjiang 212013,China)

机构地区：[1]江苏大学管理学院,江苏省镇江市212013

出　　处：《中国全科医学》2023年第10期1172-1178,共7页Chinese General Practice

基　　金：国家自然科学基金面上项目(71974082)——全科医生胜任力与居民签约服务利用服务意愿的耦合机制及提升策略研究。

摘　　要：在全科医疗服务制度背景下,增强医患信任是提升医疗服务质量的关键。基于医患信任源模型,结合文献分析,本文对全科医疗服务中的医患信任问题进行了深入探索,得出卫生行政部门对签约服务的监督力度、社区卫生服务机构的设施环境、全科医生提供的服务质量、居民自身的信任倾向是影响医患信任的关键因素。基于此,文章从四方主体角度出发,提出要加强卫生行政部门监管力度、提升制度信任、加强医患沟通、增强人际信任、发挥居民的社会监督力量等建议,以进一步提高居民对基层医疗卫生服务的利用意愿和全科医疗的服务质量。Enhancing doctor-patient trust is the key to improving medical service quality in the context of the general pracitce service system. This paper explores the doctor-patient trust in general practice services in depth based on doctor-patient trusted source model combining with literature analysis. It is concluded that the intensity of supervision of contracted services by the health administration,the facility environment of community health service institutions,the quality of services provided by general practitioners,and residents’ own trust tendency are the key factors affecting the doctor-patient trust. From the perspective of the above four subjects,suggestions including strengthening the supervision of health administration,enhancing institutional trust,strengthening doctor-patient communication,enhancing interpersonal trust,and giving full play to residents’ social supervision power are put forward in this paper,in order to improve the willingness to access primary health care services of residents and the quality of general practice services.

关 键 词：全科医学 社区卫生服务 医患信任 信任源模型 医生病人关系 家庭医生签约服务 

分 类 号：R197[医药卫生—卫生事业管理] R192.3[医药卫生—公共卫生与预防医学]