患者因素如何影响医方对医患关系的看法

Influence of patients' attitude on doctors' satisfaction with the doctor-patient relationship

目的:了解医方对于医患关系的满意度,寻找影响医患关系的医方满意度的患者因素,为促进医患和谐提供依据。方法:在北京、山东、重庆3地10所医院对医护人员进行问卷调查和深度访谈。结果:医护人员对社会医患关系和谐程度的平均评分为59.9分,远低于患者的评价分值(84.5分);患者的社会人口特征、社会经济地位和行为特征对医护人员与患者的互动关系产生影响;医护人员对医患关系的评价受到患者的信任程度的影响。结论:医患关系的医方视角对明确我国医患关系紧张程度、分析医患紧张原因非常必要;患者因素对医患关系具有重要影响;建立和谐医患关系需要重视针对患者的措施。

Objective：To describe the doctors＇ satisfaction of the doctor-patient relationship and find out the influencing factors of the patients, gathering evidence to improve the doctor-patient relationship. Methods ： This study was a cross-sectional study, in which doctors and nurses in 10 hospitals of Beijing, Shandong and Chongqing were surveyed with structured questionnaires and in-depth interviews. Results： The mean score of the doctors＇ satisfaction of the doctor-patient relationship was 59.97, which was much lower than the patients＇ The patients＇ socio-demographie characteristics, social economic status （SES） and behavior characteristics influence the interaction of the doctors and the patients. The doctors＇ satisfaction of the doctor-patient relationship was influenced by the patients＇ trust. Conclusion： The doctors＇ perspective is helpful to define the tension and the cause of the doctor-patient relationship. The patients＇ characteristics have important influence on the doctor-patient relationship. It＇ s necessary to take action on the patients to improve the doctor-patient relationship.