Institute of Oncology, The First Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, 210046, Jiangsu Province, China.
Liaoning University of Chinese Medicine, Shenyang, 110847, Liaoning Province, China.
Global Health. 2020 Oct 15;16(1):99. doi: 10.1186/s12992-020-00625-9.
Due to economic development and an increase in the aging population, the demand for medical resources is increasing. A good doctor-patient relationship (DPR) can optimize patients' medical experience and improve treatment efficiency. The DPR, however, is currently in crisis in China. To explore ways to improve DPR, this study assessed the views on the status of the DPR, medical services, and the general situation of medical work among medical personnel (MP) and the general population (GP).
This cross-sectional study, conducted between December 2019 and March 2020, targeted the MP and the GP in Nanjing City, Jiangsu Province, and Zhengzhou City, Henan Province. A total of 154 MP and 329 GP answered a self-administered questionnaire through Questionnaire Star and WeChat apps. Wilcoxon's Sign Rank Test, Chi-square test, and frequency distributions and percentages were used to process the data.
Only 11.04% of the MP and 14.89% of the GP believed that the current DPR was harmonious. Moreover, 54.55% of the MP and 71.12% of the GP believed that the medical industry was a service industry. While 14.29% of the MP and 64.44% of the GP thought medical staff earned high salaries, 19.48% of the MP and 47.11% of the GP wanted their children to be in the medical industry. The recognition of the current status of the DPR did not affect the GP's preference for their children's practice (p < 0.05). Most MPs hoped to improve salaries (40.26%), followed by safety (17.53%) and social status (12.99%); only 8.44% of the MP wanted to improve the DPR.
The MP's and GP's views on the current status of DPR, the importance of medical service attitudes, and the general sense of the medical industry were similar. However, there was a significant difference in the perception of the nature of medical services and the income of the people employed in the medical industry between the two groups. Balancing the expectations of patients in the medical industry and increasing public awareness of the actual situation in the medical industry may be a feasible way to improve the DPR.
由于经济发展和人口老龄化的增加，对医疗资源的需求正在增加。良好的医患关系（DPR）可以优化患者的就医体验，提高治疗效率。然而，目前中国的医患关系正处于危机之中。为了探索改善医患关系的方法，本研究评估了医务人员（MP）和普通民众（GP）对医患关系现状、医疗服务以及医疗工作总体情况的看法。
本横断面研究于 2019 年 12 月至 2020 年 3 月在江苏省南京市和河南省郑州市进行，针对医务人员和普通民众。共有 154 名医务人员和 329 名普通民众通过问卷星和微信应用程序回答了一份自填式问卷。采用 Wilcoxon 符号秩检验、卡方检验以及频数分布和百分比来处理数据。
只有 11.04%的医务人员和 14.89%的普通民众认为当前的医患关系和谐。此外，54.55%的医务人员和 71.12%的普通民众认为医疗行业是服务业。虽然 14.29%的医务人员和 64.44%的普通民众认为医务人员收入高，但 19.48%的医务人员和 47.11%的普通民众希望自己的孩子从事医疗行业。对当前医患关系现状的认识并不影响普通民众对子女从业的偏好（p<0.05）。大多数医务人员希望提高工资（40.26%），其次是提高安全性（17.53%）和社会地位（12.99%）；只有 8.44%的医务人员希望改善医患关系。
医务人员和普通民众对医患关系现状、医疗服务态度重要性以及对医疗行业总体看法的看法相似。然而，两组人员对医疗服务性质和医疗行业从业人员收入的看法存在显著差异。平衡患者对医疗行业的期望和提高公众对医疗行业实际情况的认识，可能是改善医患关系的可行途径。
