我国三级公立医院住院患者对医生的信任现状及影响因素研究  

A Study on the Current Status of Inpatients'Trust in Doctors at Tertiary Public Hospitals in China and Its Influencing Factors

作　　者：米嘉润 杜昕昱 李明坤 依力夏提·艾力 刘远立[1] Mi Jiarun;Du Xinyu;Li Mingkun;Liu Yuanli(School of Health Policy and Management,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100730,China;不详)

机构地区：[1]中国医学科学院北京协和医学院卫生健康管理政策学院,北京100730

出　　处：《中国医院管理》2024年第8期17-22,共6页Chinese Hospital Management

基　　金：中国医学科学院医学与健康科技创新工程课题项目(2021-I2M-1-046)

摘　　要：目的调查我国三级公立医院住院患者对医生的信任现状并分析其影响因素,为提升患者信任度、改善医患关系提供参考。方法依托第3次全国改善医疗服务行动第三方评估项目,选取全国31个省(区、市)和新疆生产建设兵团共136家三级公立医院开展调查,共收回21092名住院患者的调查问卷。应用R4.3.2软件对所得数据进行统计分析。结果我国三级公立医院住院患者对其主治医生的信任度为98.37%。患者职业、家庭年收入、医院类型等非医疗因素是住院患者对医生信任度的影响因素。结论我国三级公立医院住院患者对医生的信任度总体较高,但不同地区存在差异。应重视病区环境和膳食质量等非医疗因素的改进,以增强患者对医疗服务提供方的信任,提升患者整体就医体验,进一步改善医患关系。Objective It aims to investigate the current status of patient trust in physicians among inpatients at tertiary public hospitals in China and to analyze the factors influencing this trust.The goal is to provide insights for enhancing patient trust and improving doctor-patient relationships.Methods Relying on the third“third party evaluation of national action to improve medical services”project,it surveyed inpatients from 136 tertiary public hospitals across 31 provinces(including autonomous regions and municipalities)and the Xinjiang Production and Construction Corps.A total of 21092 inpatient questionnaires were returned.Data obtained were statistically analyzed using R software version 4.3.2.Results The trust level in attending physicians among inpatients at tertiary public hospitals in China was found to be 98.37%.Influential factors on this trust level included patient occupation,annual family income,type and region of the hospital and so on.Conclusion Overall,the level of trust in physicians among inpatients at tertiary public hospitals in China is high,though regional differences exist.It should pay attention to non-medical factors such as inpatient ward environment and hospital service quality.Improving these aspects can enhance the overall patient experience,further improve doctor-patient relationships.

关 键 词：三级公立医院 住院患者 患者信任 医患关系 

分 类 号：R197.3[医药卫生—卫生事业管理]