医患信任水平对就医选择的影响研究  

Research on the influence of doctor-patient trust level on the choice of medical treatment

作　　者：严文浩 雷紫微 胡伟男 席妮 肖锦铖[1] YAN Wenhao;LEI Ziwei;HU Weinan;XI Ni;XIAO Jincheng(School of Health Service Management,Anhui Medical University,Hefei 230032,China)

机构地区：[1]安徽医科大学卫生管理学院,安徽合肥230032

出　　处：《山东第一医科大学（山东省医学科学院）学报》2024年第5期296-301,共6页Journal of Shandong First Medical University ＆ Shandong Academy of Medical Sciences

摘　　要：目的拓宽影响就医选择的因素渠道,加入了社会因素进行考量,为医疗资源分配、加速分级医疗和公共网络建设升级提供参考。方法采用OLS回归模型,综合分析社会信任、个体因素、家庭因素、地区因素等对就医选择的影响,并通过倾向得分匹配模型(propensity score matching,PSM)进行异质性分析。结果医患信任水平与就医选择之间呈现反向相关,个体医患信任度越高越倾向基层医院就医。结论较高的医患信任水平可以引导医疗资源下沉,可以通过一定的政策支持和加强医疗合作加快基层医疗发展。Objective:To broaden the channels through which factors influencing healthcare choices are considered,including social factors,in order to provide insights for the allocation of medical resources,expedited development of tiered healthcare,and upgrades to public healthcare networks.Methods:Employing OLS regression models,a comprehensive analysis of the impact of social trust,individual,family,and regional factors on healthcare choices was conducted.Heterogeneity analysis was performed with a propensity score matching(PSM)model.Results:A negative correlation was observed between the trust level of doctors and patients and healthcare choices,with higher individual trust in doctors leading to a greater inclination toward seeking healthcare at primary care facilities.Conclusion:Higher levels of trust between doctors and patients can guide the downward distribution of medical resources.Policy support and strengthened medical collaboration can accelerate the development of primary healthcare.

关 键 词：就医选择 社会信任 影响因素 

分 类 号：R-05[医药卫生]