Study of Doctor-Patient Trust in Township Hospitals Based on Doctors' Interview

Objective To describe the trust status of doctor-patient relationship in township hospitals as well as the influencing factors,then put forward to relevant countermeasures. Methods Purpose sampling method was used to select three towns B,Q and C from a distant outskirt in Beijing as the observation places,according to geographical positions of the township hospitals,town population and cultural level,where the township hospitals were subjected to 3 d spot research by not participatory observation method. Besides 12 doctors chosen by purpose sampling method received personal interview. Results The mean score of the doctor-patient relationship evaluation by township doctors was( 3. 83 ± 0. 58) with 5 as the full mark. 9 doctors thought the trust type largely belonged to operational relationship. In terms of trust degree of the patients,6 in 12 doctors thought so-so,5 doctors thought high and 1 was not clear about it. The doctors in township hospitals thought the trust was mainly built on competence( 10 persons),on medical ethics( 10 persons),on service attitude( 4 persons),on genetic relationship( 2 persons),on geo-relationship( 1 person),on responsibility( 1 person). Conclusion Doctors in township hospitals conclude that patient trust township hospitals more than county doctors,but less than big city hospitals. The trust type toward township hospitals belongs to relationship trust and doctor's competence,moral and attitude are the influencing factors for doctor-patient relationship. Therefore the doctor-patient relationship can be improved by advancing medical technology,increasing public health personnel,strengthening the doctor-patient communication,escalating equipment levels and adding drug types etc.