我国居民的医生信任度的变化趋势及影响因素分析

Change trend of doctor trustrank among residents in China and its influencing factors analysis

目的理解居民的医生信任度的变化趋势,并分析其影响因素,为寻找提升医生信任度的有效策略提供参考。方法基于社会决定论构建分析框架,采用2014年、2016年、2018年和2020年中国家庭追踪调查(CFPS)数据,分析居民的医生信任度变化趋势,OLS回归模型探究影响因素,夏普利值分解模型分析影响因素对医生信任度的贡献度。结果2014年、2016年、2018年居民的医生信任度(6.817、6.762、6.730)逐渐降低,2020年(7.151)明显提高。OLS回归模型分析显示,个人特征、社会信任、医疗服务质量、信息渠道和主观社会经济地位与居民的医生信任度有关。2014-2020年,社会信任是影响居民的医生信任度最重要的因素,其次分别为医疗服务质量、主观社会经济地位和信息渠道,个人特征对医生信任度的贡献度最低。结论居民的医生信任度受到社会信任、医疗服务质量、主观社会经济地位和信息渠道等因素的综合影响,需要优化综合性治理措施,促进医生信任度的持续提高。

Objective To understand the change trend of doctor trustrank among the residents,and to analyze its influencing factors to provide reference for finding the effective strategies to enhance the doctor trustrank.Methods The analytical framework was constructed based on the social determinism.The data from the China Family Panel Studies(CFPS)in 2014,2016,2018 and 2020 were adopted to analyze the change trend of residents’doctor trustrank.The OLS regression model was used to explore the influencing factors,and the Shapley value decomposition model was used to analyze the contribution degree of influencing factors on doctor trustrank.Results The residents’doctor trustrank was gradually decreased in 2014,2016 and 2018(6.817,6.762,6.730),which in 2020 was significantly increased(7.151).The OLS regression model analysis showed that the personal characteristics,social trust,quality of medical services,access to information and subjective socioeconomic status were related to the residents’doctor trustrank.The social trust during 2014-2020 was the main factor affecting the residents’doctor trustrank,followed by the medical service quality,subjective socialeconomic status and information channels.The personal characteristics had the lowest contribution degree to doctor trustrank.Conclusion The residents’doctor trustrank is comprehensively affected by the factors such as social trust,medical service quality,subjective socioeconomic status and information channels.It is needed to optimize the comprehensive treatment measures to promote the persistent elevation of doctor trustrank.