互联网使用对患方视域的医患信任影响研究

Influence of Internet use on doctor-patient trust in the view of patients

目的丰富医患信任定量研究,了解新媒介环境下患者的医患信任度。方法结合倾向得分匹配法分析处理组(使用互联网)与控制组(不使用互联网)对医生信任的差别以及个体不同特征变量的平均处理效应。结果在尽量控制协变量和选择性误差的情况下,处理组的医患信任度显著低于控制组的医患信任度,差异有统计学意义(P<0.05)。在异质性分析中,学历低、年龄大、非党员以及有医保的群体使用互联网对其医患信任产生显著负向影响(P<0.05)。结论在现今互联网应用背景下,为增加医患信任度,应严控健康信息服务内容,打造权威媒体平台;提高医患互动正面宣传力度;针对不同群体采取差异化健康信息教育;尊重患方合理诉求,增强医保基金透明度。

Objective To enrich the quantitative research on doctor-patient trust and improve the doctor-patient trust of the patients in the new media environment.Methods The propensity score matching method was used to analyze the difference in the trust of doctors between the treatment group(using the Internet)and the control group(not using the Internet)and the average treatment effect of individuals with different characteristic variables.Results In the context of controlling the covariates and selective errors,the doctor-patient trust of the treatment group was significantly lower than that of the control group(P<0.05).In the heterogeneity analysis,the use of the Internet by groups with lower education level,older age,non-party members and medical insurance showed a significant negative impact on their doctor-patient trust(P<0.05).Conclusion We should strictly manage health information services,create authoritative media platforms,enhance the positive publicity of doctor-patient relations,provide differentiated health information service for different groups,respect the reasonable complaints of patients and enhance the transparency of medical insurance funds.