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信息不对称下医患信任的重构 被引量:69

Rebuiklding doctor-patient trust in the case of unbalanced grasp of information
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摘要 在医学诊疗过程中,医患双方存在着医疗信息分布和掌握的不对称,这种情况直接影响医患信任的建立和患者对医疗效果的评价。建立和增强医患信任的工具性方法主要有利用关系网或人情馈赠,而情感性方法主要是相互尊重、通过交流增加情感沟通。而重构医患信任关系可从7个方面着手:①建立健全信息公开制度;②提升管理者的信任意识;③构建全员认同的信任氛围;④接受规范和道德的约束;⑤实事求是进行信息公开;⑥主动释疑和履行告知义务;⑦完善监督制约及奖励机制。 In the course of patient care, it may occur that doctors and patients have unbalanced grasp of medical information, which directly affects the building of doctor-patient trust and patients'evaluation of medical effects. Instrumental methods for building and enhancing doctor-patient trust include mainly the use of relative networks or the presentation of favors while affective methods chiefly include mutual respect and the promotion of friendly relations via communication. The rebuilding of doctor-patient relationship of trust, however, can be approached from the following seven perspectives: ①establishing and perfecting the system of rendering information accessible to the public; ②raising the managers'awareness of trust; ③building an atmosphere of trust acceptable to the entire staff members; ④accepting the restraint of standards and morality; ⑤rendering information accessible to the public in a realistic way; ⑥taking the initiative in clearing up doubts and performing the obligation of notification; and ⑦perfecting the mechanisms of supervision and reward.
出处 《中华医院管理杂志》 2004年第3期167-169,共3页 Chinese Journal of Hospital Administration
关键词 信息不对称 重构 医疗信息 分布 医疗效果 评价 医患关系 Information Doctor-patient relationship Trust
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