患方视角下城市大医院医患信任类型及原因分析

From the perspective of suffering side to explore the doctor-patient trust types and causes in big city hospital

目的:了解城市大医院医患信任建立机制及类型,并探讨其原因。方法:选取北京市医疗资源集中地区进行抽样,从中选取X医院、Z医院、B医院3所三甲医院作为研究现场,对其医院管理者、医生、患者及其他人员进行实地观察并个人深入访谈。结果:3所医院的整体医患信任状况较好,且其信任建立机制以声誉型为主,但仍未摆脱原有的关系信任模式。结论:城市化进程导致了信任机制的改变,医患双方不熟悉以及高就医期待造成了患者在就诊时惟技术至上现状,新信任机制的建立仍需不断探索。

Objectives： To learn the type of doctor-patient trust mechanisms in large urban hospitals and analyze the causes. Methods： This study selected the concentration of medical resources in the sampling, choose the three 3 top tertiary hospitals named X, Z and B as the research site. Hospital managers, doctors, patients and others in the sited 3 hospitals were selected to have the field observation and in-depth interviews. Results： The overall condition of the three hospitals＇ doctors- patient trust is good, the trust mechanism is given priority to with reputation model, but still not get rid of the original relationship trust mode. Conclusions： Urbanization has led to changes in trust mechanism, both of the doctor and the patient are not familiar with each other, and the high expectation in treatment causes the patient only technical supremacy, the new doctors-patient trust model is establishing and it requires us to continue to explore.