Doctor-patient relationship, doctor-patient trust status and influencing factors in township health centers in Beijing
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摘要: 目的 充分了解北京市远郊区县乡镇卫生院医患关系与医患信任的现状,并分析其存在的问题及其影响因素。 方法 采用多阶段分层随机抽样方法,在北京市远郊区县中按照地理位置和医疗卫生机构实际发展水平,分层抽取H、T、C、D、M 5个区县,每个区县内再分层抽取3个乡镇,共计15个乡镇,每个乡镇卫生院按科室分层抽取一线医务人员10~12名进行问卷调查,总计抽取184名医务人员;同时在每个乡镇内分层抽取3个行政村,共计45个行政村,在每个村随机抽取9~10名村民,总计抽取423名村民进行问卷调查。对所得数据结果,采用SPSS 17.0统计学软件进行分析,分析方法主要采用描述性统计分析、χ2检验、秩和检验。 结果 按照5级评分制,医患双方对于乡镇卫生院医患关系现状的平均评分分别为医方3.33分和患方3.56分;患方对乡镇卫生院医务人员的信任程度和满意度均为"一般";医方认为影响乡镇卫生院医患关系和医患信任的主要原因有:乡镇卫生院医务人员的技术水平、医务人员的服务态度和医务人员的话语可信度。 结论 乡镇卫生院医患关系总体表现一般偏向较好状态,相对而言优于城市医患关系,但不如村卫生室医患关系。乡镇卫生院应提高医疗技术服务水平,引进优秀人才,完善硬件设施,改善服务态度,注重人文关怀,构建和谐医患关系。Abstract: Objective To fully understand the current situation of doctor-patient relationship and doctor-patient trust in township hospitals in suburbs of Beijing, and to analyze the existing problems and its influencing factors. Methods Using stratified random sampling, in the outer suburbs of Beijing in accordance with the geographical position and the actual level of development of medical and health institutions, stratified, T, C, H, D and M5 counties, 3 villages and towns of each county in stratified, a total of 15 townships, each township hospital stratified according to the Department of medical 10-12 conducted a questionnaire survey, a total sample of 184 medical staff; and at the same time in each township in stratified sample of 3 administrative villages, a total of 45 administrative villages. About 9-10 villagers were randomly selected in each village. A total of 423 villagers were selected to carry out a questionnaire survey. The results of the data are analyzed by SPSS 17.0 software. Descriptive statistical analysis, chi square test, rank sum test are used in the analysis. Results According to the 5-point scale, the average score of doctor-patient relationship was 3.33 and 3.56 respectively. The trust degree of medical staff in the township health center and satisfaction are "general"; the main reasons that affect the doctor-patient relationship and doctor-patient trust in township hospitals are:the technical level of medical staff in township hospitals, the service attitude of medical staff and the credibility of medical staff. Conclusion The general performance of the relationship between doctors and patients in township hospitals is generally better than that of urban doctors and patients, but it is worse than that of doctors in village clinics. Township hospitals should improve the level of medical technical services, the introduction of excellent talents, improve the hardware facilities, improve the service attitude, pay attention to humanistic care and build a harmonious relationship between doctors and patients.
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Key words:
- Township hospitals /
- Doctor-patient trust /
- Doctor-patient relationship
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