多主体医患关系综合评价指标体系构建

The establishment of doctor-patient relationship index system with multiple players

医患关系是一个复杂的系统工程,涉及多方面影响因素,目前国内医患关系评价体系涉及的主体主要集中在医患双方,视角相对单一。总结以往研究,笔者提出影响医患关系的五大主体因素:政府因素、医院管理因素、医务人员因素、媒体因素、患者因素,并按此五大主体,参考专家和患者的意见,对文献所列医患关系综合评价指标进行了梳理,将成都部分医院作为特定地域的试点,再结合调研数据及因子分析对指标体系进行筛选和初步确立。文章进一步利用解释结构模型分析指标体系结构和指标间的相互作用关系,对评价指标体系的合理性进行阐释。本研究所提出的综合评价指标体系对中国医患关系评估,及探索影响医患关系和谐的因素有借鉴意义,为进一步构建中国跨地域多主体通用指标体系做出了基础尝试。

Doctor- patient relationship is complicated system engineering, involving many influence factors. Recent doctor- patient relationship researches mainly focus on two players which are doctors and patients. It＇ s a comparatively narrow sense. Based on researches before, this paper proposes five main influence players of doctor -patient relationship： government, hospital administrator, medical staff, media, and patient. According to these five players, and consulting with other experts, we systemize the index then initially establish a new doctor- patient relationship index system sys by tem proposed by other researchers, and using factor analysis. Furthermore, we study the structure and reasonableness of the index system with interpretative structural modeling （ ISM）. The proposed comprehensive doctorpatient relationship index system is worthy in assessment and influence factor analysis of doctor-patient relationship. And it contributes to the establishment of cross-region general doctor - patient relationship index system.