医方视域的医患信任违背与修复——基于扎根理论的探索性分析

不同于既往从患方视域,论文从医方视域应用扎根理论探讨医患信任违背的深层次因素.结果发现:患方就医善意、就医正直与就医能力、医学固有特征、制度社会情境这5个主范畴对医患信任违背存在显著影响.患方就医形象是医患信任违背的前置内因变量,医学固有特征是医患信任违背的内部情境变量,制度社会因素是医患信任违背的外部情境变量,它们影响医患信任违背的作用和路径并不一致.在此基础上,探索了上述5个主范畴的构成因子及其对医患信任违背的作用机制模型.研究可以为政府制定有效的管控政策以修复医患信任提供理论思路与实施路径.

The violation and repair of doctor-patient trust from the perspective of medical—Exploratory analysis based on grounded theory

The application of grounded theory to explore the doctor-patient trust against the deep-seated factors, and found that the five main categories of patients' goodwill, patient's integrity, patient's ability, medical inherent characteristics and institutional social context have significant influence on the doctor-patient trust. The patient medical image is the doctor-patient trust against the pre internal variables, the inherent characteristics of internal medicine situational variables of doctor-patient trust violation, the system of social factors is the external situational variables of doctor-patient trust violation, they affect the role and path of doctor-patient trust violation is not consistent. On this basis, we explore the component factors of the 5 main categories and their mechanism of action against the breach of trust between doctors and patients. The study can provide effective policy for the government to repair the trust between doctors and patients, and provide specific policy ideas and implementation paths.