患者社会地位感知与对医信任:差别性的影响因素

Patients’ Social Status Perception and Trust in Medicine:the Different Influencing Factors

个体社会地位高低的认知与患者对医信任是否存在某种关系？又受到何种因素的影响？本研究选取300名过去一年内自己或家属曾有就诊经历的被试,启动其社会地位感知后考察对医信任的水平。结果显示,社会地位感知与患方对医信任不存在相关关系。相关分析和回归分析显示,家庭年收入对高社会地位感知组患方的对医信任有显著的正向影响（β=0.18,p〈0.05）,能够有效解释高地位感知组对医信任得分变异的3%。差异检验结果显示,低地位感知组患方信任具有显著的性别差异,男生显著高于女生[t（1,158）=2.21,p〈0.05]。研究结论：社会地位感知与患方对医信任不存在相关关系,高低社会感知组对医信任的影响因素是有差别的：高地位感知组对医信任的影响因素是家庭经济收入,低社会感知组对医信任的影响因素是性别。

Is there a relationship betw een individual social status perception and the patient’ s trust in medicine? And what are affected factors? Study primed social status perception and examined the level of trust-in-doctors of 300 patients who had visited doctors by their own or with family members in the past year. The results show ed that:( 1) There was no correlation betw een social status perception and patients’ trust in medical treatment.( 2) T he correlation and regression analysis show ed that,the family income had significant positive influence on the medical trust of the patients w ith high social status perception group( β = 0. 18,p <0. 05),and could explain the 3% variation of the medical trust score of the High status perception group effectively.( 3) T he results of the difference test show edthat there w ere significant gender differences in the patients’ trust in the low status perception group,and the males were significantly higher than females [t( 1,258) = 2. 21,p < 0. 05]. Conclusions: social status perception is not correlated to the patients ’trust,and the influence factors of the social perception group on the medical trust are different. That is,the influence factors of the high status perception group on the medical trust are the family economic income,and the influence factors of the low social perception group on the medical trust is gender.