村民自治环境中村级医患信任现状及成因分析——基于北京市H县的实地观察研究

Analysis of Present Situation and Causes of the Doctor-patient Trust in Villager Autonomy Environment

通过对H县的实地观察和深入访谈,分析了村级医患间的多维现状,具体论述了村民自治环境下村级医患间制度信任构建的障碍及村级医患间人际信任独具的特色,进一步提出改善村级医患信任的对策及建议:加大对村医的培训力度;在绩效考核中强化村医的公益性目标,巩固村级医患间情感信任;建立差异化的收入补偿机制,调动村医服务积极性,提高村级医患信任水平。

Through field observation and in - depth interviews of H County, analyzed about the present multidi- mensional situation between patient and physician. This paper discussed villager autonomy environment barriers and village village system build trust between patient and physician＇s interpersonal trust between patient and physician＇ s unique features, further improve the village of doctor - patient trust countermeasures and suggestions ： strengthen the village doctor training; To strengthen the village doctor in performance appraisal of public welfare goal, consoli- date the village -level emotional trust between patient and physician; Establish differential income compensation mechanism, arouse the enthusiasm of the village doctor service, and improve the level of village - level doctor - pa- tient trust.