影响医患关系的不和谐因素分析与对策

Analysis on unharmonious factors influencing hospital and patient relationship and their countermeasures

目的:通过问卷调查了解医患关系现状,分析影响医患关系的不和谐因素,并提出构建和谐医患关系的对策。方法:2011年1月～3月期间在北京两所三级医院及一所二级医院发放问卷1200份,其中患者问卷700份,医生问卷500份。利用SPSS16.0χ2检验对所得数据进行分析,进而找出医患双方的异同意见及影响医患和谐的因素。结果:患者和医务人员对医患关系的总体评价及各方影响因素的认识不同。大多数医患认为医患关系比较和谐或关系一般,医务人员对于医患关系的现状更加不乐观;患者认为医务人员的沟通欠佳、患者的医学知识缺乏及缺乏理性思考、政府的缺乏监管是影响医患关系和谐的最主要因素;医务人员认为医务人员的沟通欠佳、患者对医生的不信任及有偏见、政府对医务人员待遇低及对卫生投入少是影响医患关系和谐的最主要因素。结论:医患之间存在着一些不和谐因素,但医患双方对各方影响因素的认识是不同的。构建和谐医患关系是一个系统工程,需要各方的努力,作为服务提供者的医方更应从自身出发采取措施为构建和谐医患关系做出贡献。

Objectives： To aware status of hospital patient relationship, analyze unharmonious factors influencing hospital patient relationship and find countermeasures by questionnaire. Methods： Two tertiary hospitals and a secondary hospital were seleeted to receive questionnaire survey. 1200 questionnaires, including 700 patient questionnaire and 500 doctor questionnaires were earried out. SPSS16.0 X 2 was used as an analysis tool to find the consistent and different between doctor and patient and influence factors. ]Results： The overall assessment and influence factors of hospital patient relationship are different between doctors and patients. Most of patient supporl that current hospital patient relationship is harmonious or just so so. Doctors＇ awareness is even worse. Patients think that doctor＇ s poor communication capacity, patient lack of professional medical knowledge and irrational thoughts, and lack of government monitoring are the main factors influencing hospital patient relationship. Doctors think doctor＇ s poor communication capacity, mistrust and prejudiee, low payment and inadequate government health input are the main factors influencing hospital patient relationship. Conelusions： Doctor and patient relationship do have some unharmonious factors but the awareness on its influence factors is different between doctors and patients. Building a harmonious hospital patient relationship is a systematic engineering whieh needs everyone＇ s effort. As a service provider, hospital should carry out countermeasures to build harmonious hospital patient relationship.