医患信息不对称度现况分析

Analysis of information asymmetry between doctors and patients

目的测量医患信息不对称度,研究其分布和影响因素。方法采取分层抽样的方法,抽取2015年驻马店市3家三级医院的住院患者及其主管医生30对,8家二级医院的住院患者及其主管医生81对和8家一级医院的住院患者及其主管医生81对,共192对样本,测量医患信息不对称度,并对其进行统计分析。结果不同级别医院、不同类别医院、不同职称医生医患信息不对称度间差异有统计学意义(P<0.05)。可以认为高级别医院比低级别医院不对称,中医医院比西医医院不对称,中高级职称医生比初级职称医生不对称。结论高级别医院、中医医院、中高级职称医生应更加注重改善医患信息不对称状况,提高医患信任度,构建和谐医患关系。

Objective To discuss the information asymmetry between doctors and patients in the aspect of distribution status and influencing factors.Methods One hundred and ninety-two pairs of hospitalized patients and their doctors were extracted by stratified sampling including 30 pairs from three tertiary hospitals,81 pairs from eight secondary hospitals and 81 pairs from eight Class-I hospitals.The problems of information asymmetry between doctors and patients were analyzed.Results There were significant differences between the hospitals with different levels and specialized subjects,as well as doctors in different levels.It is common that information asymmetry is more serious in high level hospitals and hospitals of traditional Chinese medicine,as well as the doctors with senior professional post.Conclusions High level hospitals,hospitals of Traditinal Chinese Medicine and senior professional doctors should pay more attention to improve information asymmetry degree between doctors and patients,improve doctor-patient trust and build a harmonious ralationship.