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医生对患者的信任及其主要影响因素——基于制度主义与文化主义的视角

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医患信任是医患双方的相互信任关系,以往更多关注的是患者对医生的信任(简称患者信任),忽视了医生对患者的信任(简称医生信任).基于深圳市8个行政区共37家医院的抽样调查数据,呈现了医生信任的现状.研究发现:医生信任处于中等偏下水平.制度主义视角上,公立医院、越高等级医院的医生对患者拥有较高的信任水平;日均工作时长、职业倦怠对医生信任具有显著的消极效应.文化主义视角上,一般人际信任以及对媒体医患报道的信任均可提升医生信任水平;开放主义和自我超越价值观对医生信任也具有积极影响.这些发现意味着提升医生信任既要重视制度主义因素,如降低工作量、提升职业效能感等,也要重视文化主义因素的长期积累,如提升整体社会信任水平、提倡积极的文化价值观等.
Doctors'Trust in Patients and the Primary Influencing Factors:A Perspective Based on Institutionalism and Culturalism
Doctor-patient trust is a mutual trust relationship between doctors and patients.In the past,more attention has been given to patient trust in doctors,neglecting the trust that doctors have in patients.Based on a sampling survey of 37 hospitals across 8 administrative districts in Shenzhen,this article presents the current status of physician trust and examines the main influencing factors from the perspectives of institutionalism and culturalism.The study found that physician trust is at a moderately low level.From the institutional perspective,doctors in public hospitals and higher-tier hospitals exhibit higher levels of trust in patients.Average daily working hours and professional burnout have significant negative effects on physician trust.From the cultural perspective,general interpersonal trust and trust in media reports on doctor-patient relationships can promote physician trust.Open-mindedness and values of self-transcendence also have positive effects on physician trust.These findings suggest that improving physician trust requires attention to both institu-tional factors,such as reducing workload and enhancing professional efficacy,and the long-term accumulation of cul-tural factors,such as raising overall social trust levels and advocating positive cultural values.

Doctors' Trust in PatientsInstitutionalismCulturalismBurnoutCultural Values

池上新、陈蕾

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深圳大学政府管理学院(广东 深圳518060)

医生信任 制度主义 文化主义 职业倦怠 文化价值观

国家社会科学基金重点项目

23ASH012

2024

南开学报(哲学社会科学版)
南开大学

南开学报(哲学社会科学版)

CSTPCDCSSCICHSSCD北大核心
影响因子:0.849
ISSN:1001-4667
年,卷(期):2024.(1)
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