CAJ | 학술논문

目的：从患方视角了解北京市乡镇卫生院的医患信任情况及其影响因素，为构建农村和谐的医患关系提供科学依据。方法：2014年5月5－6日对北京市H区14个乡镇卫生院的70名患者进行问卷调查，并进行统计学分析。结果：患方视角下，认为医生总体上信任患者的有61人（87．14％），认为患者总体上信任医生的有63人（90．00％）。认为医患信任建立的原因依次为医疗技术（88．57％）、道德品质（81．42％）、彼此熟悉（47．14％）。医生评价中，患者认可度低的依次为正确诊断（81．43％）、诊疗效果（81．43％）、不必要检查（82．86％）。医疗机构评价中，患者认可度低的依次为药品种类（60．00％）、诊疗设备（64．29％）、药品价格（71．43％）。卫生政策评价中，患者对“新农合”报销制度的知晓率最高（91．43％），且多数患者认为相关卫生政策对医患信任有提高作用。结论：今后要重视基层医疗卫生机构的发展，以患者的需求与医务人员的利益为导向制定相关卫生政策。同时加强乡镇卫生院卫生人力资源的建设，提高医务人员技术水平及工作积极性，建立和谐的医患关系。
목적：종환방시각료해북경시향진위생원적의환신임정황급기영향인소，위구건농촌화해적의환관계제공과학의거。방법：2014년5월5－6일대북경시H구14개향진위생원적70명환자진행문권조사，병진행통계학분석。결과：환방시각하，인위의생총체상신임환자적유61인（87．14％），인위환자총체상신임의생적유63인（90．00％）。인위의환신임건립적원인의차위의료기술（88．57％）、도덕품질（81．42％）、피차숙실（47．14％）。의생평개중，환자인가도저적의차위정학진단（81．43％）、진료효과（81．43％）、불필요검사（82．86％）。의료궤구평개중，환자인가도저적의차위약품충류（60．00％）、진료설비（64．29％）、약품개격（71．43％）。위생정책평개중，환자대“신농합”보소제도적지효솔최고（91．43％），차다수환자인위상관위생정책대의환신임유제고작용。결론：금후요중시기층의료위생궤구적발전，이환자적수구여의무인원적이익위도향제정상관위생정책。동시가강향진위생원위생인력자원적건설，제고의무인원기술수평급공작적겁성，건립화해적의환관계。
Objective: To investigate the doctor-patient trust status of township hospitals and its influencing factors in Beijing , so as to pro-vide evidence for harmonious doctor-patient relationship.Methods:We investigated and analyzed 70 patients in 14 township hospitals in H dis-trict of Beijing.Results:From the view of patients'side, 61 patients (87.14%) chose doctors generally trust patient and 63 patients (90.00%) chose patients generally trust doctors.In the type of doctor-patient trust, 88.57% patients chose medical skill, 81.42% patients chose medical ethics, 47.14% patients chose familiar with each other.The low approval degree of doctor was accurate diagnosis (81.43%), treatment outcome (81.43%) and excessive imaging (82.86%).The low approval degree of township hospitals were drug categories (60.00%), medical equip-ment (64.29%) and drug price (71.43%).The awareness percentage of New Rural Cooperative Medical System was 91.43%and most patients thought health policies improved doctor-patient trust.Conclusion:In order to improve doctor-patient relationship of township hospitals, it's ur-gent to pay attention to developing basic medical units so as to make health policies based on both patients'need and doctors'interest and strength-en the building of human resources so as to improve medical skill and working initiative .