我国医务人员对医患关系感知变化及影响因素分析  

Analysis of changes in Chinese Medical staff′s perceptions of doctor-patient relationships and influencing factors

作　　者：罗希 林良权 张乾坤 张新庆[1] LUO Xi;LIN Liang-quan;ZHANG Qian-kun;ZHANG Xin-qing(School of Humanities and Social Sciences,Peking Union Medical College,Beijing 100730,China)

机构地区：[1]北京协和医学院人文和社会科学学院,北京100005

出　　处：《河北医科大学学报》2024年第11期1353-1358,共6页Journal of Hebei Medical University

基　　金：中国科协战略发展部资助课题“医务人员从业状况调查及研究”(2023P001RW001);中央高校基本科研业务费专项资金资助课题“医学院校'科技哲学'专题研究与课程思政探索”(3332023182)。

摘　　要：目的了解我国医务人员对医患关系感知的现状及新型冠状病毒肺炎疫情前后变化趋势,分析其影响因素。方法基于2018年和2023年的医务人员从业状况调研项目,运用描述性统计,单因素分析和二元Logistic回归方法分析医务人员对医患关系感知情况及影响因素。结果2018年、2023年分别回收有效问卷11771份(回收率90.4%)、8386份(回收率91.1%)。2023年,58.5%的医务人员称我国医患关系紧张或较紧张,相较2018年降低22%,差异有统计学意义(Z=34.885,P<0.001)。年龄、医院类型、科室、日均工作时间、遭受言语辱骂次数、医院文化建设水平及媒体舆论导向显著影响医务人员对医患关系的感知(P<0.05)。结论后疫情时代医疗服务模式及医疗执业环境变化助推医患关系向好;应差异性关注和维护不同特征医务人员对医患关系感知水平;应重视加强医院文化建设,提升患者就医体验。Objective To understand the current state and changing trends in Chinese medical staff′s perceptions of doctor-patient relationships before and after the COVID-19 pandemic,and to analyze the influencing factors.Methods Based on Medical Staff′s Employment Surveys in 2018 and 2023,descriptive statistical analysis,univariate analysis and binary logistic regression were used to analyze medical staff′s perception of doctor-patient relationship and influencing factors.Results 11771(90.4%response rate)and 8386(91.1%response rate)valid questionnaires were collected in 2018 and 2023,respectively.In 2023,58.5%of medical staff claimed that doctor-patient relationships were tense or very tense,with a decrease by 22%compared with that in 2018(Z=34.885,P<0.01).Age,hospital type,department,average daily working hours,frequency of verbal abuse,level of hospital cultural development,and media coverage orientation significantly influenced medical staff′s perceptions of doctor-patient relationships(P<0.05).Conclusion Changes in the medical service model and the medical practice environment in the post-epidemic era have contributed to the improvement of doctor-patient relationship.The perceived level of the doctor-patient relationship among medical staff with different characteristics should gain differential attention and maintenance,and emphasis should be placed on strengthening the construction of the hospital culture to enhance the patients′experience of medical care.

关 键 词：医生病人关系 医务人员 感知 

分 类 号：R197.1[医药卫生—卫生事业管理]