医患信任建设的社会心理学分析框架

A Social-psychological Framework for the Construction of Doctor-Patient Trust

医患信任可分为患方信任及医方信任这两个不可分割的维度,同时包括医务工作者与就诊患者之间的人际信任、医务工作者群体和患方群体之间的群际信任以及患方群体对医疗机构和现行医疗体制的制度信任这三大层面。构建测量医患信任水平的有效工具,明确医患失信产生的社会心理机制,探析不同治疗情境下医患信任的演变过程,验证医患个体在医疗互动中的具体认知心理和决策行为机制,并提出具有可操作性的医患信任修复模型与对策措施,是社会心理学视角下医患信任的研究重点。

Doctor-patient trust consists of two indispensable dimensions: patients’ trust and doctors’ trust. It can be broken down into three levels: the interpersonal trust between doctors and patients who are in direct involvement,the inter-group trust between medical workers group and patients group,and the institutional trust the patients group holds in the medical institutions and systems.Constructing valid measurement instrument of doctor-patient trust level,analyzing the social psychological mechanism of doctor-patient trust crisis,exploring the evolution process of doctor-patient trust under diverse treatment situations,verifying cognitive and judgmental styles of medical workers and patients in the interaction process,and putting forward operational models and strategies for trust repair are the major tasks of studies on doctor-patient trust from a social psychological perspective. Apart from the advance of medical system reform,the construction of a harmonious social mentality on doctor-patient trust is also crucial to the improvement of doctor-patient relationship and the alleviation of doctor-patient trust crisis.