基于患者信任度的患者分类与管理策略探讨

医患信任在医患知识转移中起十分重要的作用.作者对患者基本特征和信任表现进行调查研究,把医院的信任、医生的信任、知识转移认知度、依从度四个因素作为分类标准,通过聚类分析将患者分为四类群体,即理性多疑型、被动依从型、盲目自信型和盲信盲从型;并根据每类患者的行为特点提出不同的知识转移与沟通策略.以期为医护人员进行有效的医患沟通与知识转移、赢得患者信任提供参考.

Patient-trust-based patients classification and the management strategy

Doctor-patient trust plays an important role in doctor-patient knowledge transfer.Investigating the basic features and trust performance of the patients, the authors classified by means of a cluster analysis, the patients into four groups with such criteria as the trust on hospital, trust on doctors, patient's awareness of the knowledge, and patient's compliance to the doctor's advice. The four groups are rational and suspicious, passive compliance, high self-confidence, and blind trust groups. In view of behavioral characteristics of the patients, different doctor-patient knowledge transfer strategies are suggested, in an effort to perform effective doctor-patient communication and to gain patient's trust.