| 引用本文：戴萌娜, 张建华, 徐淑涛, 周珊, 闫萍.影响我国医患和谐的主要问题及其重要性研究[J].中国卫生政策研究,2018,11(3):11-14 |
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| 影响我国医患和谐的主要问题及其重要性研究 |
| 投稿时间：2017-09-01 修订日期：2017-12-12 PDF全文浏览 HTML全文浏览 |
| 戴萌娜1,2, 张建华1,2, 徐淑涛1,2, 周珊1,2, 闫萍1,2 |
1. 潍坊医学院公共卫生与管理学院 山东潍坊 261053;
2. “健康山东”重大社会风险预测与治理协同创新中心 山东潍坊 261053 |
| 摘要:为理顺影响我国医患和谐问题的主次关系，探究对医患和谐影响力较大的因素，本文通过文献评阅，形成影响医患和谐的29类问题，按照卫生系统宏观模型建立问题层次结构模型，并进行专家论证，利用层次分析法计算问题重要性指数，并运用K-均值聚类法将问题归类，最终得出问题重要性排序。结果发现影响我国医患和谐的重要问题有7个，重要性排序第一的为"社会信任危机，医患信任缺失"，其重要性指数为0.0784，属于外部子模层。这与当前社会整体公信力下降的时代背景相吻合。因此，重建医患信任应该作为当前治理重点方向，国家应从宏观层面出发，通过制度重建社会信任。 |
| 关键词:医患和谐 层次分析 |
| 基金项目:山东省自然科学基金项目（ZR2016GL03）；“健康山东”重大社会风险预测与治理协同创新中心课题（XT1404001） |
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| Study on the main problems affecting the harmony between doctors and patients and its importance in China |
| DAI Meng-na1,2, ZHANG Jian-hua1,2, XU Shu-tao1,2, ZHOU Shan1,2, YAN Ping1,2 |
1. School of Public Health and Management, Weifang Medical University, Weifang Shandong 261053, China;
2. The Collaborative Innovation Center of Major Social Risk Prediction and Management of Health, Weifang Shandong 261053, China |
| Abstract:In order to straighten out the primary and secondary relationships that affect the harmony between doctors and patients in China and explore the factors that have a great influence on the harmony between doctors and patients, this paper through literature review, established 29 types of problems that affect the harmony between doctors and patients and builds the hierarchy of problems according to the macro-Model, and expert argumentation, the use of analytic hierarchy process to calculate the importance index of the problem, and the use of K-means clustering method to classify the problem, and finally come to the order of the importance of the problem. Through this study, it was found that there are seven important issues that affect the harmony between doctors and patients in China, and the most important one is "the Crisis of Social Trust and the lack of trust between doctors and patients". The importance index is 0.0784, belonging to the external sub-model. This is in line with the current background of declining credibility of the current society as a whole. Therefore, the restoration of the trust between doctors and patients should be the key direction of current governance, and the state should proceed from the macro level and rebuild social trust throughout the system. |
| Key words:Doctor-patient harmony Level analysis |
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