多重不确定风险及其应对——儿童血液病病房中的医患信任研究

Coping with Diverse Uncertain Risks:A Study on the Doctor-Patient Trust in a Children’s Center for Blood Diseases in China

基于儿童血液病病房的参与观察发现,医患双方都基于自身立场去努力应对医疗过程中的多重不确定性。患方通过感知医方能否提供恰当医疗行为、积极履行代理责任和提供信息支持来确定其是否可信,医方则通过患方的治疗依从性来判定其是否可信。由于风险因素众多且已渗透整个医疗场域,医患冲突已成为现代风险社会的普遍场景,无法根除或回避。尽管如此,分析信任缔结与演变过程中的积极因素,仍可为纾解医患矛盾提供更为积极的想象力。

This participant observation study on inpatients in a children.s center for blood diseases in China discovered that both doctors and patients/their agents endeavored to reduce treatment uncertainty construed from their own perspectives.Patients determine whether a doctor is credible by perceiving whether the doctor can provide appropriate medical behavior,active agency responsibilities,and information support;and the doctor determines his or her trustworthiness by the patient.s compliance with treatment.Due to the numerous risk factors and the penetration of the entire medical field,doctor-patient conflict has become a common scenario in modern risk society and cannot be eradicated or avoided.However,analyzing the positive factors in the process of trust formation and evolution can still provide a more positive imagination for the resolution of doctorpatient conflicts.