基于患方视角的北京市村落医患信任现状调查

目的：从患者视角了解医患信任现状，探讨改善村落医患信任的措施。方法：采用分层随机抽样的方法，在北京市H区抽取12个行政村，运用参与式与非参与式观察相结合的方式进行实地观察。结果：北京市H区村民对乡村医生、乡镇卫生院医生和城市大医院医生的信任评价得分分别为4．042±1．042、3．438±1．192、4．042±0．624，村民对乡镇卫生院医生的信任程度明显低于其对城市大医院医生和乡村医生的信任程度。结论：总体上，村落医患信任度较高，但仍有一些导致医患不信任的因素存在。结合村卫生室的具体情况，各方应为改善村级医患信任作出共同努力。

The Investiag tion on the Status of Doctor-patei nt Trust in Beijing Baesd on the View of Patients

Objective： This paper designs to understand the current situation of doctor-patient trust from the view of patients, and discuss the measures to improve doctor -patient trust in rural areas.Methods：Stratified random sampling method was used to select administrative villa-ges in H district of Beijing.Use participatory and non-participatory observation method to grasp the current situation of doctor-patient trust,so as to seek for appropriate measures to improve it.Results：The trust scores of villagers in H district of Beijing to rural doctors, doctors in township hospital and doctors in large hospitals are 4.042 ±1.042, 3.438 ±1.192 and 4.042 ±0.624, respectively.The score of township hospital was significantly lower than that of others.Conclusion： Overall,the level of doctor-patient trust is relatively high. However, threatening factors to doctor-patient trust still exist.Given the conditions of village clinics, each side, like the gouernment, township hospitals, village committee, should make efforts to improve village clinic doctor-patient trust.