| 引用本文：童西洋, 李红玉, 苏军, 张锦欣, 赵世超, 孙晓杰.三甲医院与基层医疗卫生机构的患者信任模式比较：基于访谈与调查实验法的混合研究[J].中国卫生政策研究,2024,17(4):-38 |
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| 三甲医院与基层医疗卫生机构的患者信任模式比较：基于访谈与调查实验法的混合研究 |
| 投稿时间：2024-02-28 修订日期：2024-04-10 PDF全文浏览 HTML全文浏览 |
| 童西洋1,2, 李红玉3, 苏军1,2, 张锦欣1,2, 赵世超3, 孙晓杰1,2 |
1. 山东大学齐鲁医学院公共卫生学院/卫生管理与政策研究中心 山东济南 250012;
2. 国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学) 山东济南 250012;
3. 山东师范大学公共管理学院 山东济南 250014 |
| 摘要:目的：基于访谈与调查实验法的混合研究设计，比较三甲医院与基层医疗卫生机构的患者信任模式差异。方法：对38名居民进行半结构式访谈，通过内容分析法进行分析；调查实验法部分设置“三甲医院”和“基层医疗卫生机构”两个实验组，回收有效问卷648份，通过方差分析进行差异性检验。结果：患者对三甲医院的体系信任高于基层医疗卫生机构，而对基层医疗卫生机构的人际信任则高于三甲医院。建议：应有针对性地增强患者对基层的体系信任水平，并进一步巩固和突显基层的人际信任优势。同时，也要采取针对性措施以重塑患者对三甲医院的人际信任。 |
| 关键词:人际信任 体系信任 调查实验法 混合研究方法 |
| 基金项目:山东大学青年交叉科学创新群体—文旅康养产业交叉融合创新研究团队(2020QNQT019); 国家自然科学基金青年项目(72204150) |
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| Comparison of patient trust patterns between tertiary hospitals and primary healthcare institutions: A mixed research based on interviews and survey experiment |
| TONG Xi-yang1,2, LI Hong-yu3, SU Jun1,2, ZHANG Jin-xin1,2, ZHAO Shi-chao3, SUN Xiao-jie1,2 |
1. Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan Shandong 250012, China;
2. NHC Key Laboratory of Health Economics and Policy Research (Shandong University), Jinan Shandong 250012, China;
3. School of Public Administration, Shandong Normal University, Jinan Shandong 250014, China |
| Abstract:Objective: This study utilizes a hybrid research design, integrating interviews with experimental surveys, to investigate the variances in patient trust models between tertiary hospitals and primary healthcare institutions. Methods: Thirty-eight residents participated in semi-structured interviews, which were then analyzed using content analysis. The experimental survey segment divided participants into two groups: “Tertiary Hospitals” and “Primary Healthcare Institutions,” resulting in 648 valid questionnaires. These questionnaires were subjected to variance analysis to assess differences. Results: Patients exhibit greater systemic trust in tertiary hospitals than in primary healthcare facilities, while interpersonal trust is stronger in primary healthcare settings. Suggestions: Therefore, strategies should be developed to bolster systemic trust at the primary level and emphasize the advantages of interpersonal trust. Moreover, specific measures are required to reshape patients’ interpersonal trust in tertiary hospitals. |
| Key words:Interpersonal trust System trust Survey experiment Mixed-methods research |
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