基于文献分析法的影响医患和谐问题的研究

The Research on the Problems Influencing Doctor-patient Harmony Based on Literature Analysis Method

目的探寻影响医患和谐的问题,为改善医患关系提供依据。方法检索中国知网(CNKI)等数据库,关键词检索"医患和谐or医患关系or医患纠纷or医患矛盾or医患沟通or医患信任",摘要检索"问题or挑战or障碍or危机",检索年限设定为"2009—2016",形成文献集;然后采用边界分析法确定问题是否达到饱和;最后运用"卫生系统宏观模型"对问题进行归纳分类。结果影响医患和谐的问题可归纳为29类,涵盖5大方面,分别是资源、组织、过程、结果及外部环境问题。结论影响医患和谐的各类内部问题之间相互作用、相互影响,同时与外部宏观环境相互联系。

Objective: To explore the problems influencing doctor-patient harmony,and provide basis for improving the doctor-patient relationship. Method: China Knowledge Resource Integrated Database( CNKI) and other databases were retrieved,keywords retrieved"doctor-patient harmony or doctor-patient relationship or doctor-patient dispute or doctor-patient conflict or doctor-patient communication or doctor-patient trust",abstracts retrieved "problem or challenge or obstacle or crisis"and the retrieval period was set "2009-2016",forming a collection of literature. Then boundary analysis method was used to determine whether the problem was saturated or not,and finally "macro model of health system"was used to classify and summarize the problems. Results: The problems influencing the doctor-patient harmony can be summarized into 29 categories,covering 5 major aspects,which were resources,organization,process,results and external environment problems respectively.Conclusion: The various internal problems influencing the doctor-patient harmony interplay and mutually influence,and also interconnect with external macro environment.